| Redefine Life Holistic Psychotherapy, Llc | |
|
5347 E 5th St Katy TX 77493-2053 | |
| (832) 781-2153 | |
| Not Available |
| Full Name | Redefine Life Holistic Psychotherapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5347 E 5th St, Katy, Texas |
| Authorized Official Name and Position | Jodie Bergquist (OWNER/LICENSED PSYCHOTHERAPIST) |
| Authorized Official Contact | 8327812153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redefine Life Holistic Psychotherapy, Llc 5347 E 5th St Katy TX 77493-2053 Ph: (832) 781-2153 | Redefine Life Holistic Psychotherapy, Llc 5347 E 5th St Katy TX 77493-2053 Ph: (832) 781-2153 |
| NPI Number | 1437838497 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Certification Date | 07/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437838497 | NPI | - | NPPES |
| 1144679697 | Other | TX | MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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