| Excavate Counseling & Consulting Services Pllc | |
|
4040 Spring Valley Rd Apt 216d Farmers Branch TX 75244-3810 | |
| (312) 971-6844 | |
| Not Available |
| Full Name | Excavate Counseling & Consulting Services Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4040 Spring Valley Rd Apt 216d, Farmers Branch, Texas |
| Authorized Official Name and Position | Mary Catherine Wilson (COUNSELOR) |
| Authorized Official Contact | 3129716844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excavate Counseling & Consulting Services Pllc 4040 Spring Valley Rd Apt 216d Farmers Branch TX 75244-3810 Ph: (312) 971-6844 | Excavate Counseling & Consulting Services Pllc 4040 Spring Valley Rd Apt 216d Farmers Branch TX 75244-3810 Ph: (312) 971-6844 |
| NPI Number | 1821743964 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821743964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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