| Change My Life Counseling Llc | |
|
713 Nw Renfro St Burleson TX 76028-3439 | |
| (940) 704-6623 | |
| Not Available |
| Full Name | Change My Life Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 713 Nw Renfro St, Burleson, Texas |
| Authorized Official Name and Position | Joseph Edwin Corne (OWNER/DIRECTOR) |
| Authorized Official Contact | 9407046623 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change My Life Counseling Llc 251 Sw Wilshire Blvd Ste 124 Burleson TX 76028-4779 Ph: () - | Change My Life Counseling Llc 713 Nw Renfro St Burleson TX 76028-3439 Ph: (940) 704-6623 |
| NPI Number | 1093385684 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093385684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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