| Endeavor Counseling Center Llc | |
|
113 S Lanana St Nacogdoches TX 75961-5146 | |
| (936) 209-4090 | |
| Not Available |
| Full Name | Endeavor Counseling Center Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 113 S Lanana St, Nacogdoches, Texas |
| Authorized Official Name and Position | Michelle Mixon (OWNER) |
| Authorized Official Contact | 9362094090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endeavor Counseling Center Llc 1170 County Road 509 Nacogdoches TX 75961-7999 Ph: () - | Endeavor Counseling Center Llc 113 S Lanana St Nacogdoches TX 75961-5146 Ph: (936) 209-4090 |
| NPI Number | 1356040935 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356040935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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