Dogwood Mental Health And Wellness, Llc | |
412 North St Suite B Nacogdoches TX 75961-5077 | |
(936) 622-0993 | |
(936) 622-0994 |
Full Name | Dogwood Mental Health And Wellness, Llc |
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Speciality | Social Worker - Clinical |
Location | 412 North St, Nacogdoches, Texas |
Authorized Official Name and Position | Haskell Stephen Cooper (MANAGING MEMBER) |
Authorized Official Contact | 9366220993 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dogwood Mental Health And Wellness, Llc Po Box 632279 Nacogdoches TX 75963-2279 Ph: (936) 622-0993 | Dogwood Mental Health And Wellness, Llc 412 North St Suite B Nacogdoches TX 75961-5077 Ph: (936) 622-0993 |
NPI Number | 1366865370 |
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Provider Enumeration Date | 01/27/2014 |
Last Update Date | 02/14/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366865370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34017 (Texas) | Primary |
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