| Baker Carmichael Counseling Center | |
|
900 Whitehead Dr Granbury TX 76048-2505 | |
| (817) 573-6922 | |
| (817) 579-6611 |
| Full Name | Baker Carmichael Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 900 Whitehead Dr, Granbury, Texas |
| Authorized Official Name and Position | Claudia P Southern (OWNER/COUNSELOR) |
| Authorized Official Contact | 8175736922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Carmichael Counseling Center 900 Whitehead Dr P O Box 758 Granbury TX 76048-2505 Ph: (817) 573-6922 | Baker Carmichael Counseling Center 900 Whitehead Dr Granbury TX 76048-2505 Ph: (817) 573-6922 |
| NPI Number | 1770805392 |
|---|---|
| Provider Enumeration Date | 02/23/2010 |
| Last Update Date | 03/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770805392 | NPI | - | NPPES |
| 027764201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 13881 (Texas) | Primary |
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