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20723 Banner Meadow Ln Cypress TX 77433-4521 | |
| (952) 221-6067 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Case Management |
| Location | 20723 Banner Meadow Ln, Cypress, Texas |
| Authorized Official Name and Position | Wesue Louise Harmon (CEO) |
| Authorized Official Contact | 9522216067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
20723 Banner Meadow Ln Cypress TX 77433-4521 Ph: (952) 221-6067 | 20723 Banner Meadow Ln Cypress TX 77433-4521 Ph: (952) 221-6067 |
| NPI Number | 1891485595 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 06/07/2023 |
| Certification Date | 06/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891485595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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