| Distinctive Pathways Llc | |
|
600 Strada Cir Ste 220 Mansfield TX 76063-3209 | |
| (469) 224-7679 | |
| Not Available |
| Full Name | Distinctive Pathways Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 600 Strada Cir Ste 220, Mansfield, Texas |
| Authorized Official Name and Position | Demetrian Martin (OWNER) |
| Authorized Official Contact | 3182358572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Distinctive Pathways Llc 3901 Arlington Highlands Blvd Ste 200 Arlington TX 76018-6050 Ph: (469) 224-7679 | Distinctive Pathways Llc 600 Strada Cir Ste 220 Mansfield TX 76063-3209 Ph: (469) 224-7679 |
| NPI Number | 1568019255 |
|---|---|
| Provider Enumeration Date | 08/19/2019 |
| Last Update Date | 02/17/2020 |
| Certification Date | 02/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568019255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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