Organization · Type 2 NPI
Blue Agave Counseling, PLLC
Adult Mental Health Clinic/Center · Magnolia, TX
NPI number
1700540382
Active
Practice location
903 Honea Egypt Rd # A-2
Magnolia, TX 77354-2754
Fax (346) 457-5644
Mailing address
PO Box 130292
Spring, TX 77393-0292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Another provider at this address
About NPI 1700540382
Blue Agave Counseling, PLLC's National Provider Identifier is 1700540382, issued on Oct 28, 2021. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Magnolia, TX. The record was last updated on Oct 28, 2021.