| 600 Decatur Street Counseling | |
|
8105 Rasor Blvd # 259 Plano TX 75024-0116 | |
| (972) 754-8086 | |
| Not Available |
| Full Name | 600 Decatur Street Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8105 Rasor Blvd # 259, Plano, Texas |
| Authorized Official Name and Position | Kristin Goodwin (OWNER) |
| Authorized Official Contact | 9727548086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 600 Decatur Street Counseling 3976 Creekside Ln Carrollton TX 75010-6479 Ph: (972) 754-8086 | 600 Decatur Street Counseling 8105 Rasor Blvd # 259 Plano TX 75024-0116 Ph: (972) 754-8086 |
| NPI Number | 1689108946 |
|---|---|
| Provider Enumeration Date | 04/13/2017 |
| Last Update Date | 04/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689108946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 66602 (Texas) | Primary |
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