Organization
THE LISTENING RETREAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMINA LONG LPC, LCDC (OWNER/LPC)
(405) 249-3386
Entity
Organization
Contact information
Practice address
305 REGENCY PKWY, 413, MANSFIELD, TX 76063-3794
(682) 292-8255
(682) 201-2225
Mailing address
1709 SCOTTSDALE DR, ARLINGTON, TX 76018-1868
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
72046
TX
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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