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4683 Betts Dr Ste 403 Grand Prairie TX 75052-1807 | |
| (214) 934-9979 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Case Management |
| Location | 4683 Betts Dr Ste 403, Grand Prairie, Texas |
| Authorized Official Name and Position | Rasheda Warren (OWNER/LICENSED THERAPIST) |
| Authorized Official Contact | 2149349979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4683 Betts Dr Ste 403 Grand Prairie TX 75052-1807 Ph: (214) 934-9979 | 4683 Betts Dr Ste 403 Grand Prairie TX 75052-1807 Ph: (214) 934-9979 |
| NPI Number | 1609639848 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609639848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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