Self Center Pllc

NPI #1174235758 in Richmond, Texas

Provider Information

NPI Number: 1174235758
Entity Type: Organization
Organization Name: Self Center Pllc
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 15, 2022
Last Updated: Dec 15, 2022

Practice Location

Address: 1010 WILLIAMS LAKE DR
City: Richmond
State: Texas
ZIP Code: 77469-4295
Phone: (601) 807-5030

Authorized Official

Name: NATALIE JACKSON, LPC
Title: DIRECTOR
Phone: (601) 807-5030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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