institution
Specialized Transformation
Professional Counselor in Grand Prairie, Texas
NPI 1235495607

Specialized Transformation is a Professional Counselor based in Grand Prairie, TX and is specialized in Professional. Specialized Transformation practices in Grand Prairie, TX. The NPI Number for Specialized Transformation is 1235495607 and holds a License No. 64618 (Texas).

The current practice location address for Specialized Transformation is 2305 Corn Valley Rd, Grand Prairie, TX and can be reached out via phone at 800-601-9519 and via fax at 866-326-6765.

Location: 2305 Corn Valley Rd, Grand Prairie, TX, 75051-8804
institution
Provider Profile Details
NPI Number
1235495607
Provider Name
Specialized Transformation
Credential
Provider Entity Type
Organization
Address
2305 Corn Valley Rd, Grand Prairie, TX, 75051-8804
Phone Number
800-601-9519
Fax Number
866-326-6765
Provider Enumeration Date
04/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2305 Corn Valley Rd
City
State
Zip
75051-8804
Phone Number
800-601-9519
Fax Number
866-326-6765
person
Provider Business Mailing Address Details
Address
2305 Corn Valley Rd
City
State
Zip
75051-8804
Phone Number
800-601-9519
Fax Number
866-326-6765
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
64618 (Texas)
Definition
Definition to come...
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