| Therapeutic Lifestyle Center Llc | |
|
601 Strada Cir # 109 Mansfield TX 76063-3212 | |
| (832) 514-1529 | |
| Not Available |
| Full Name | Therapeutic Lifestyle Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 601 Strada Cir # 109, Mansfield, Texas |
| Authorized Official Name and Position | Jennifer Dawn Taggart (OWNER) |
| Authorized Official Contact | 8325141529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Lifestyle Center Llc 601 Strada Cir # 109 Mansfield TX 76063-3212 Ph: (832) 514-1529 | Therapeutic Lifestyle Center Llc 601 Strada Cir # 109 Mansfield TX 76063-3212 Ph: (832) 514-1529 |
| NPI Number | 1477426773 |
|---|---|
| Provider Enumeration Date | 09/24/2025 |
| Last Update Date | 09/24/2025 |
| Certification Date | 09/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477426773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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