Archway Suppport, Ltd | |
1005 W Texas Ave Midland TX 79701-6169 | |
(432) 682-2724 | |
(432) 682-2725 |
Full Name | Archway Suppport, Ltd |
---|---|
Speciality | Counselor - Professional |
Location | 1005 W Texas Ave, Midland, Texas |
Authorized Official Name and Position | Allison H 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 |
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Archway Suppport, Ltd 1005 W Texas Ave Midland TX 79701-6169 Ph: (432) 682-2724 | Archway Suppport, Ltd 1005 W Texas Ave Midland TX 79701-6169 Ph: (432) 682-2724 |
NPI Number | 1205204419 |
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Provider Enumeration Date | 09/03/2015 |
Last Update Date | 09/03/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205204419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 64291 (Texas) | Primary |
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