| Emerald Palace Practice Pllc | |
|
6200 Chase Oaks Blvd Suite 103 Plano TX 75023-4652 | |
| (214) 866-9529 | |
| (469) 241-0556 |
| Full Name | Emerald Palace Practice Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6200 Chase Oaks Blvd, Plano, Texas |
| Authorized Official Name and Position | Brian R Grandjean (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2148669529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Palace Practice Pllc Po Box 863 Allen TX 75013-0014 Ph: (214) 866-9529 | Emerald Palace Practice Pllc 6200 Chase Oaks Blvd Suite 103 Plano TX 75023-4652 Ph: (214) 866-9529 |
| NPI Number | 1912145400 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 01/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912145400 | NPI | - | NPPES |
| 181137402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 197756 (Texas) | Primary |
Tcn Pediatric Neurology, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4032 Mcdermott Rd, Suite 100, Plano, TX 75024 Phone: 972-469-9000 Fax: 972-769-0035 | |
Thomas Psychological Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6404 International Pkwy Ste 1010, Plano, TX 75093 Phone: 972-267-1988 Fax: 972-267-3434 | |
Psyclear, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5055 West Park Boulevard, Suite 400, Plano, TX 75093 Phone: 972-824-6577 | |
Autism Diagnostics Services Of Texas, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 Mcdermott Rd Ste 100, Plano, TX 75024 Phone: 855-295-3276 Fax: 888-588-2752 | |
Plano Neurology, Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4601 Old Shepard Pl, #406, Plano, TX 75093 Phone: 972-867-3535 Fax: 972-867-3530 | |
Smart Neuro Health & Wellness Professionals Texas Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6839 Communications Pkwy, Plano, TX 75024 Phone: 469-225-0245 | |
Joel D Campbell, M.d., P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6124 W Parker Rd, Suite 432, Plano, TX 75093 Phone: 972-403-3100 Fax: 972-403-3105 |