Organization · Type 2 NPI
Mystic Maze Therapy and Consultation, PLLC
Counselor · Dallas, TX
NPI number
1740928027
Active
Practice location
1411 Taperwicke Dr
Dallas, TX 75232-4609
Mailing address
722 Oakbluff Dr
Lancaster, TX 75146-1429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1740928027
Mystic Maze Therapy and Consultation, PLLC's National Provider Identifier is 1740928027, issued on May 25, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Dallas, TX. The record was last updated on Aug 8, 2022.