Organization
THE CONSCIOUS MIND COUNSELING GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENNARD DARYL LATHAN (LICENSED PROFESSIONAL COUNSELOR)
(214) 530-9377
Entity
Organization
Contact information
Practice address
2306 GUTHRIE RD STE 260K, GARLAND, TX 75043-5967
(214) 530-9377
Mailing address
2306 GUTHRIE RD STE 260K, GARLAND, TX 75043-5967
(214) 530-9377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
01/04/2024
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