| Bright Space Therapy | |
|
100 Crescent Ct Ste 700 Dallas TX 75201-2112 | |
| (214) 444-3649 | |
| Not Available |
| Full Name | Bright Space Therapy |
|---|---|
| Speciality | Counselor |
| Location | 100 Crescent Ct Ste 700, Dallas, Texas |
| Authorized Official Name and Position | Katherine Logan Nix (OWNER/COUNSELOR) |
| Authorized Official Contact | 2144443649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Space Therapy 2221 Creekside Cir N Irving TX 75063-3346 Ph: (214) 444-3649 | Bright Space Therapy 100 Crescent Ct Ste 700 Dallas TX 75201-2112 Ph: (214) 444-3649 |
| NPI Number | 1497306450 |
|---|---|
| Provider Enumeration Date | 09/21/2019 |
| Last Update Date | 09/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497306450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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