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NPI #1134962319 in Georgetown, Texas
Provider Information
- NPI Number
- 1134962319
- Entity Type
- Organization
- Organization Name
- Https://nppes.cms.hhs.gov/iaweb/login.do
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 17, 2024
- Last Updated
- Jun 17, 2024
Practice Location
- Address
- 703 S CHURCH ST BLDG 2
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-5749
- Phone
- (512) 591-7305
Authorized Official
- Name
- MS. SONJA SHARYN COUSAR, LPC
- Title
- CEO/FOUNDER
- Phone
- (512) 591-7305
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Community/Behavioral Health |
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