Mindful Life Counseling Center Pllc

NPI #1134671910 in Whitehouse, Texas

Provider Information

NPI Number: 1134671910
Entity Type: Organization
Organization Name: Mindful Life Counseling Center Pllc
Primary Specialty: Counselor - Professional
Enumeration Date: Oct 27, 2016
Last Updated: Oct 27, 2016

Practice Location

Address: 15632 ST HWY 110 S
Address 2: SUITE 26
City: Whitehouse
State: Texas
ZIP Code: 75791-9384
Phone: (815) 751-7700

Authorized Official

Name: KATHY ANN HICKS, M.S. ED, LCPC, LDN
Title: PSYCHOTHERAPIST
Phone: (815) 751-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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