Organization
AUGUST MEDIATION AND COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN CARSON MS, LPC-A, NCC (PRESIDENT)
(972) 979-5463
Entity
Organization
Contact information
Practice address
1705 GENEVA LANE, PLANO, TX 75075
(214) 216-1024
Mailing address
PO BOX 862006, PLANO, TX 75086-2006
(214) 216-1024
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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