Manifesting Change Therapy LLC

NPI #1386342483 in Bastrop, Texas

Provider Information

NPI Number: 1386342483
Entity Type: Organization
Organization Name: Manifesting Change Therapy LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 17, 2023
Last Updated: Feb 17, 2023

Practice Location

Address: 139 N POHAKEA DR
City: Bastrop
State: Texas
ZIP Code: 78602-7222
Phone: (512) 502-4428

Authorized Official

Name: RACHEL HUMPHRIES
Title: OWNER
Phone: (512) 502-4428

Specialties & Taxonomy Codes

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

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