Organization
FIRST RESPONDERS COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOVIA BRADLEY MA., LPC (THERAPIST)
(469) 359-3544
Entity
Organization
Contact information
Practice address
1937 NEWPORT DR, LANCASTER, TX 75146-4939
(469) 359-3544
Mailing address
1937 NEWPORT DR, LANCASTER, TX 75146-4939
(469) 359-3544
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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