Lazarus Project Group PLLC

Organization Active NPI Mental Health Counselor · Garden Ridge, TX

NPI 1306195151 · NPPES record last updated Sep 6, 2012

Key facts

NPI
1306195151
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
License
14527 (TX)
Legal business name
LAZARUS PROJECT GROUP PLLC
Practice address
19185 FM 2252
Garden Ridge, TX 78266-2574
Phone
(210) 859-5446
NPI assigned
Sep 6, 2012
Organization subpart
No

Authorized official

Name
Mr. Rolla Merle Bradley Jr., LPC-S
Title
Counselor - Owner
Phone
(210) 859-5446

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

19185 FM 2252
Garden Ridge, TX 78266
Phone (210) 859-5446

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X 14527 TX Yes

Addresses

Primary practice location

19185 FM 2252
Garden Ridge, TX 78266-2574

Mailing address

9352 Osage Cir
Garden Ridge, TX 78266-2060
Phone (210) 859-5446

Other names

  • Lazarus Project Group PLLC Former legal business name

Other providers in Garden Ridge, TX

All providers in Garden Ridge, TX · Mental Health Counselor in Texas

Sources for this page

Verify at the official NPI Registry.