| Intentional Living Counseling Center | |
|
741 Mercy St Forney TX 75126-2715 | |
| (504) 410-0031 | |
| Not Available |
| Full Name | Intentional Living Counseling Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 741 Mercy St, Forney, Texas |
| Authorized Official Name and Position | Jasmine Battles (THERAPIST) |
| Authorized Official Contact | 5044100031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Living Counseling Center 741 Mercy St Forney TX 75126-2715 Ph: (504) 410-0031 | Intentional Living Counseling Center 741 Mercy St Forney TX 75126-2715 Ph: (504) 410-0031 |
| NPI Number | 1982284899 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982284899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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