| Ellison Davis Counseling And Wellness Center, Pllc | |
|
1127 Auburn View Ln Fresno TX 77545-2049 | |
| (281) 740-7245 | |
| Not Available |
| Full Name | Ellison Davis Counseling And Wellness Center, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1127 Auburn View Ln, Fresno, Texas |
| Authorized Official Name and Position | Shante F Clark-davis (OWNER/ THERAPIST) |
| Authorized Official Contact | 2817407245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellison Davis Counseling And Wellness Center, Pllc 6140 Highway 6 # 1318 Missouri City TX 77459-3802 Ph: (281) 740-7245 | Ellison Davis Counseling And Wellness Center, Pllc 1127 Auburn View Ln Fresno TX 77545-2049 Ph: (281) 740-7245 |
| NPI Number | 1770333627 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770333627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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