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LAZARUS PROJECT GROUP PLLC NPI 1306195151


NPI Information

NPI: 1306195151
Provider Name: LAZARUS PROJECT GROUP PLLC

Former Legal Business Name: LAZARUS PROJECT GROUP PLLC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
19185 FM 2252
GARDEN RIDGE, TX
ZIP 78266
Phone: (210) 859-5446
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LAZARUS PROJECT GROUP PLLC is a mental health counselor in Garden Ridge, TX. LAZARUS PROJECT GROUP PLLC NPI is 1306195151. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Lazarus Project Group Pllc.

The provider's business location address is:

19185 FM 2252
GARDEN RIDGE, TX
ZIP 78266-574
Phone: (210) 859-5446

The provider's authorized official is Rolla Merle Bradley .
The authorized official title is Counselor - Owner and has the following contact phone number (210) 859-5446.

The enumeration date for this NPI number is 9/6/2012 and was last updated on 9/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health14527TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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