| Ellis County Family Services | |
|
1626 W Highway 287 Business Suite #104 Waxahachie TX 75165-4712 | |
| (888) 935-0027 | |
| Not Available |
| Full Name | Ellis County Family Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1626 W Highway 287 Business, Waxahachie, Texas |
| Authorized Official Name and Position | Douglas Ray Cheatham (OWNER) |
| Authorized Official Contact | 2142075664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis County Family Services Po Box 190408 Dallas TX 75219-0408 Ph: (214) 207-5664 | Ellis County Family Services 1626 W Highway 287 Business Suite #104 Waxahachie TX 75165-4712 Ph: (888) 935-0027 |
| NPI Number | 1326236167 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326236167 | NPI | - | NPPES |
| 095323401 | Medicaid | TX | |
| 098373601 | Medicaid | TX | |
| 081432901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 11300 (Texas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 22513 (Texas) | Primary |
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