| Authentic Therapy Solutions Pllc | |
|
13747 Montfort Dr Ste 230 Dallas TX 75240-4454 | |
| (214) 506-3134 | |
| Not Available |
| Full Name | Authentic Therapy Solutions Pllc |
|---|---|
| Speciality | Counselor |
| Location | 13747 Montfort Dr Ste 230, Dallas, Texas |
| Authorized Official Name and Position | Buddy Detzel (OWNER) |
| Authorized Official Contact | 2147011987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Therapy Solutions Pllc 11846 Rupley Ln Dallas TX 75218-2068 Ph: (214) 506-3134 | Authentic Therapy Solutions Pllc 13747 Montfort Dr Ste 230 Dallas TX 75240-4454 Ph: (214) 506-3134 |
| NPI Number | 1982487302 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Medicare PECOS PAC ID | 5395187645 |
|---|---|
| Medicare Enrollment ID | O20240531001713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982487302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Buddy Detzel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174977110 PECOS PAC ID: 0749622090 Enrollment ID: I20240531002018 |
Metrocare Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 River Bend Dr, Dallas, TX 75247 Phone: 214-743-6159 | |
Lifenet Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9708 Skillman St, Dallas, TX 75243 Phone: 214-221-5433 Fax: 214-932-1977 | |
Eric B. Williams, Md, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12801 N Central Expy Ste 350, Dallas, TX 75243 Phone: 214-702-5336 Fax: 972-773-9843 | |
Bienstar Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13140 Coit Rd Ste 326, Dallas, TX 75240 Phone: 214-682-7842 | |
Howdy Pediatrics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 539 W Commerce St Ste 608, Dallas, TX 75208 Phone: 214-494-0448 Fax: 210-547-2046 | |
Lucienne Cohen Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4007 Bowser Ave Apt E, Dallas, TX 75219 Phone: 617-823-3007 | |
Developmental Pathways Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 N Saint Paul St Ste 3100, Dallas, TX 75201 Phone: 214-432-3777 Fax: 800-434-3012 |