Deviations, Inc. | |
15 Ranch Creek Way Magnolia TX 77354 | |
(713) 882-4268 | |
(281) 292-2365 |
Full Name | Deviations, Inc. |
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Speciality | Counselor |
Location | 15 Ranch Creek Way, Magnolia, Texas |
Authorized Official Name and Position | Janet Claire Nicholasas (PRESIDENT/SECRETARY/TREASURER) |
Authorized Official Contact | 7138824268 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deviations, Inc. 26203 Oakridge Drive The Woodlands TX 77380 Ph: (713) 882-4268 | Deviations, Inc. 15 Ranch Creek Way Magnolia TX 77354 Ph: (713) 882-4268 |
NPI Number | 1083878391 |
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Provider Enumeration Date | 07/16/2008 |
Last Update Date | 07/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083878391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 15464 (Texas) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1480 (Texas) | Secondary |
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