| Agasa Creatve Arts Therapy Llc | |
|
5338 Kiamesha Way Mesquite TX 75150-1008 | |
| (480) 510-3117 | |
| Not Available |
| Full Name | Agasa Creatve Arts Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5338 Kiamesha Way, Mesquite, Texas |
| Authorized Official Name and Position | Keita Onuma (MANAGING MEMBER) |
| Authorized Official Contact | 4805103117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agasa Creatve Arts Therapy Llc 5338 Kiamesha Way Mesquite TX 75150-1008 Ph: (480) 510-3117 | Agasa Creatve Arts Therapy Llc 5338 Kiamesha Way Mesquite TX 75150-1008 Ph: (480) 510-3117 |
| NPI Number | 1275270993 |
|---|---|
| Provider Enumeration Date | 05/14/2022 |
| Last Update Date | 05/14/2022 |
| Certification Date | 05/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275270993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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