| Charis Counseling | |
|
1100 Fm 56 Glen Rose TX 76043 | |
| (682) 302-4597 | |
| Not Available |
| Full Name | Charis Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1100 Fm 56, Glen Rose, Texas |
| Authorized Official Name and Position | Melinda Gaye Lewis (OWNER) |
| Authorized Official Contact | 6823024597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charis Counseling 1030 Hwy 377 E Suite 110169 Granbury TX 76048 Ph: (682) 302-4597 | Charis Counseling 1100 Fm 56 Glen Rose TX 76043 Ph: (682) 302-4597 |
| NPI Number | 1235620691 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 05/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235620691 | NPI | - | NPPES |
| 374452601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |