Modlife Counseling, LLC

NPI #1134967458 in Brock, Texas

Provider Information

NPI Number: 1134967458
Entity Type: Organization
Organization Name: Modlife Counseling, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 19, 2024
Last Updated: Dec 26, 2024

Practice Location

Address: 2501 FM 1189 STE 300
City: Brock
State: Texas
ZIP Code: 76087-5602
Phone: (817) 381-6333

Authorized Official

Name: MICHELE LEA LOWEN, LPC
Title: OWNER
Phone: (817) 381-6333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Pastoral — Pastoral	101YP1600X
Counselor - School — School	101YS0200X
Counselor - Professional — Professional	101YP2500X	Primary

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