Resonant Evolution Llc

NPI 1174953483 - Counselor - 101Y00000X

NPI Details
NPI 1174953483
Enumeration Date 11/22/2013
Last Updated 11/22/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name VIDA JUNE VIDA
Position OWNER
Phone (817) 368-3875
Fax (682) 841-1138
Practice Location
440 S MAIN ST
SUITE A
FORT WORTH TX, 76104-2400, US
Phone (817) 368-3875
Fax (682) 841-1138
Business Location
1818 S HENDERSON ST
FORT WORTH TX, 76110-6415, US
Phone (817) 368-3875
Fax (682) 841-1138
Toxanomy
Taxonomy Code 101Y00000X
License State Texas
License Number 16923
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According to our database, Resonant Evolution Llc NPI is 1174953483, taxonomy code is 101Y00000X and license number is 16923, license state is located at Texas. Resonant Evolution Llc physically located at 440 S Main St, Fort Worth TX, 76104-2400. NPI Number 1033115704 has the healthcare provider type.

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1174953483 NPI number is provided on an as is basis without warranty of any kind. 1174953483 is maintained by the National Plan & Provider Enumeration System. The contents of Resonant Evolution Llc are for informational purposes only.