| Manifesting Change Therapy Llc | |
|
139 N Pohakea Dr Bastrop TX 78602-7222 | |
| (512) 502-4428 | |
| Not Available |
| Full Name | Manifesting Change Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 139 N Pohakea Dr, Bastrop, Texas |
| Authorized Official Name and Position | Rachel Humphries (OWNER) |
| Authorized Official Contact | 5125024428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manifesting Change Therapy Llc 139 N Pohakea Dr Bastrop TX 78602-7222 Ph: (512) 502-4428 | Manifesting Change Therapy Llc 139 N Pohakea Dr Bastrop TX 78602-7222 Ph: (512) 502-4428 |
| NPI Number | 1386342483 |
|---|---|
| Provider Enumeration Date | 02/17/2023 |
| Last Update Date | 02/17/2023 |
| Certification Date | 02/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386342483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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