Dove Counseling Service Pllc | |
275 S Denton Tap Rd Coppell TX 75019-5051 | |
(817) 688-7595 | |
Not Available |
Full Name | Dove Counseling Service Pllc |
---|---|
Speciality | Counselor - Professional |
Location | 275 S Denton Tap Rd, Coppell, Texas |
Authorized Official Name and Position | Shannon D Dove (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8176887595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dove Counseling Service Pllc 275 S Denton Tap Rd Coppell TX 75019-5051 Ph: (817) 688-7595 | Dove Counseling Service Pllc 275 S Denton Tap Rd Coppell TX 75019-5051 Ph: (817) 688-7595 |
NPI Number | 1134856958 |
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Provider Enumeration Date | 08/02/2022 |
Last Update Date | 01/10/2024 |
Certification Date | 01/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134856958 | NPI | - | NPPES |
1629122635 | Other | NPI | |
16588 | Other | TX | LPC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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