| Anomaly Therapy Services Pllc | |
|
1416 Golden Grass Dr Lancaster TX 75134-1658 | |
| (504) 296-0530 | |
| Not Available |
| Full Name | Anomaly Therapy Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1416 Golden Grass Dr, Lancaster, Texas |
| Authorized Official Name and Position | Adonna Faciane (OWNER) |
| Authorized Official Contact | 5042960530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anomaly Therapy Services Pllc 1416 Golden Grass Dr Lancaster TX 75134-1658 Ph: (504) 296-0530 | Anomaly Therapy Services Pllc 1416 Golden Grass Dr Lancaster TX 75134-1658 Ph: (504) 296-0530 |
| NPI Number | 1497421911 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497421911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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