| At The Table Counseling, Pllc | |
|
2300 Valley View Ln Ste 338 Irving TX 75062-1776 | |
| (214) 684-5867 | |
| (214) 393-4793 |
| Full Name | At The Table Counseling, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2300 Valley View Ln Ste 338, Irving, Texas |
| Authorized Official Name and Position | Soneakqua White (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2146845867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| At The Table Counseling, Pllc 2300 Valley View Ln Ste 338 Irving TX 75062-1776 Ph: (214) 684-5867 | At The Table Counseling, Pllc 2300 Valley View Ln Ste 338 Irving TX 75062-1776 Ph: (214) 684-5867 |
| NPI Number | 1336473602 |
|---|---|
| Provider Enumeration Date | 09/18/2009 |
| Last Update Date | 09/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336473602 | NPI | - | NPPES |
| 194340901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20024 (Texas) | Primary |
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