| Archway Neurotherapy Llc | |
|
1005 W Texas Ave Midland TX 79701-6169 | |
| (432) 682-2724 | |
| (432) 682-2725 |
| Full Name | Archway Neurotherapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1005 W Texas Ave, Midland, Texas |
| Authorized Official Name and Position | Allison Hartzoge (OWNER, LICENSED PROF COUNSELOR) |
| Authorized Official Contact | 4326822724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archway Neurotherapy Llc 1005 W Texas Ave Midland TX 79701-6169 Ph: (432) 682-2724 | Archway Neurotherapy Llc 1005 W Texas Ave Midland TX 79701-6169 Ph: (432) 682-2724 |
| NPI Number | 1861840324 |
|---|---|
| Provider Enumeration Date | 05/25/2016 |
| Last Update Date | 05/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861840324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 64291 (Texas) | Primary |
| 104100000X | Social Worker | 62068 (Texas) | Secondary |
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