Organization
AUDRA D BOXMA PA
Active
Other names
Life Skills Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA BOXMA LPC,NCC,CCMHC,CART (CHILD/FAMILY COUNSELOR)
(817) 416-2344
Entity
Organization
Contact information
Practice address
700 E SOUTHLAKE BLVD, SUITE 190, SOUTHLAKE, TX 76092-6353
(817) 416-2344
Mailing address
700 E SOUTHLAKE BLVD, SUITE 190, SOUTHLAKE, TX 76092-6353
(817) 416-2344
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
16596
TX
Other
Enumeration date
06/06/2010
Last updated
06/06/2010
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