Organization Name: | BECOMING WHOLE COUNSELING, PLLC |
NPI Number: | 1174961031 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROY GENE TAYLOR (SOLE OWNER) |
Mailing Address: | 115 State Highway 46 W Boerne |
State: | TX US |
Postal Code: | 780068187 |
Phone Number: | 2104882729 |
Fax Number: | 8302498923 |
NPI Enumeration Date: | 06/12/2013 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |