| Broadright Counseling Services, Llc | |
|
1403 Fantail Lane Fantail Lane Ennis TX 75119-6968 | |
| (719) 685-6729 | |
| Not Available |
| Full Name | Broadright Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1403 Fantail Lane, Ennis, Texas |
| Authorized Official Name and Position | Trisha Danielle Broadright (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 7196856729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadright Counseling Services, Llc 1403 Fantail Lane Fantail Lane Ennis TX 75119-6968 Ph: (719) 685-6729 | Broadright Counseling Services, Llc 1403 Fantail Lane Fantail Lane Ennis TX 75119-6968 Ph: (719) 685-6729 |
| NPI Number | 1023676913 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 10/22/2021 |
| Certification Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023676913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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