| Mindful Life Counseling Center Pllc | |
|
15632 St Hwy 110 S Suite 26 Whitehouse TX 75791-9384 | |
| (815) 751-7700 | |
| (190) 329-7699 |
| Full Name | Mindful Life Counseling Center Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 15632 St Hwy 110 S, Whitehouse, Texas |
| Authorized Official Name and Position | Kathy Ann Hicks (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8157517700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Life Counseling Center Pllc 15632 Hwy 110 S. Suite 26 Whitewater TX 75791 Ph: (815) 751-7700 | Mindful Life Counseling Center Pllc 15632 St Hwy 110 S Suite 26 Whitehouse TX 75791-9384 Ph: (815) 751-7700 |
| NPI Number | 1134671910 |
|---|---|
| Provider Enumeration Date | 10/27/2016 |
| Last Update Date | 10/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134671910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 76385 (Texas) | Primary |
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