| Cluster Of Life Changes Llc | |
|
300 N Rufe Snow Dr Keller TX 76248-4235 | |
| (254) 289-2285 | |
| (682) 593-3936 |
| Full Name | Cluster Of Life Changes Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 300 N Rufe Snow Dr, Keller, Texas |
| Authorized Official Name and Position | Carnesha L Collins (CEO) |
| Authorized Official Contact | 2542892285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cluster Of Life Changes Llc 2001 Sterling Trace Dr Keller TX 76248-9740 Ph: (254) 289-2285 | Cluster Of Life Changes Llc 300 N Rufe Snow Dr Keller TX 76248-4235 Ph: (254) 289-2285 |
| NPI Number | 1821752833 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 10/26/2021 |
| Certification Date | 10/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821752833 | NPI | - | NPPES |
| 1306405592 | Other | INDIVIDUAL TYPE I NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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