| Your Story Pllc | |
|
2403 Bacon Ranch Rd Ste 300 Killeen TX 76542-3380 | |
| (254) 791-5614 | |
| (651) 305-9283 |
| Full Name | Your Story Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2403 Bacon Ranch Rd Ste 300, Killeen, Texas |
| Authorized Official Name and Position | Monica Leticia Tolbert (OWNER) |
| Authorized Official Contact | 2547915614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Story Pllc 3801 Southlake Dr Belton TX 76513-5079 Ph: (254) 394-0976 | Your Story Pllc 2403 Bacon Ranch Rd Ste 300 Killeen TX 76542-3380 Ph: (254) 791-5614 |
| NPI Number | 1235957812 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235957812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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