| Divine Path Ranch | |
|
6373 County Road 2520 Royse City TX 75189-8017 | |
| (323) 639-8463 | |
| Not Available |
| Full Name | Divine Path Ranch |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6373 County Road 2520, Royse City, Texas |
| Authorized Official Name and Position | Courtney Jaeckle (FOUNDER) |
| Authorized Official Contact | 2144155123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Path Ranch Po Box 155 Royse City TX 75189-0155 Ph: (214) 415-5123 | Divine Path Ranch 6373 County Road 2520 Royse City TX 75189-8017 Ph: (323) 639-8463 |
| NPI Number | 1265117030 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265117030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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