| Change Your Mind Dfw Pllc | |
|
10440 N Central Expy Ste 800 Dallas TX 75231-2264 | |
| (214) 207-0881 | |
| (214) 594-9195 |
| Full Name | Change Your Mind Dfw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 10440 N Central Expy Ste 800, Dallas, Texas |
| Authorized Official Name and Position | Michelle M. Deal (OWNER) |
| Authorized Official Contact | 2142070881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Your Mind Dfw Pllc 10440 N Central Expy Ste 800 Dallas TX 75231-2264 Ph: (214) 207-0881 | Change Your Mind Dfw Pllc 10440 N Central Expy Ste 800 Dallas TX 75231-2264 Ph: (214) 207-0881 |
| NPI Number | 1639707987 |
|---|---|
| Provider Enumeration Date | 03/31/2020 |
| Last Update Date | 03/31/2020 |
| Certification Date | 03/31/2020 |
| Medicare PECOS PAC ID | 9537599824 |
|---|---|
| Medicare Enrollment ID | O20200429001986 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639707987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michelle M Deal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427376979 PECOS PAC ID: 5294851317 Enrollment ID: I20200429002331 |
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