| Eleven 150 Solutions Therapy Services Llc | |
|
500 Grapevine Hwy 215 Hurst TX 76054-2782 | |
| (817) 307-6446 | |
| Not Available |
| Full Name | Eleven 150 Solutions Therapy Services Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 500 Grapevine Hwy, Hurst, Texas |
| Authorized Official Name and Position | Debra Taylor-smith (OWNER/LICENSED MARRIAGE & FAMILY TH) |
| Authorized Official Contact | 8173076446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleven 150 Solutions Therapy Services Llc 500 Grapevine Hwy 215 Hurst TX 76054-2782 Ph: (817) 307-6446 | Eleven 150 Solutions Therapy Services Llc 500 Grapevine Hwy 215 Hurst TX 76054-2782 Ph: (817) 307-6446 |
| NPI Number | 1417482969 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 04/21/2017 |
| Medicare PECOS PAC ID | 3678926086 |
|---|---|
| Medicare Enrollment ID | O20240201000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417482969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 201379 (Texas) | Primary |
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