| Collaborative Care Counseling | |
|
4425 W Airport Fwy Ste 366 Irving TX 75062-5831 | |
| (972) 652-0255 | |
| Not Available |
| Full Name | Collaborative Care Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4425 W Airport Fwy Ste 366, Irving, Texas |
| Authorized Official Name and Position | Bransha Gardner (OWNER) |
| Authorized Official Contact | 9726520255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Care Counseling 4425 W Airport Fwy Ste 366 Irving TX 75062-5831 Ph: (972) 652-0255 | Collaborative Care Counseling 4425 W Airport Fwy Ste 366 Irving TX 75062-5831 Ph: (972) 652-0255 |
| NPI Number | 1366990962 |
|---|---|
| Provider Enumeration Date | 09/13/2016 |
| Last Update Date | 09/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366990962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 70922 (Texas) | Primary |
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