| Family Counseling Place | |
|
3620 North Josey Lane Suite 114 Carrollton TX 75007-3151 | |
| (972) 394-2137 | |
| (972) 492-7865 |
| Full Name | Family Counseling Place |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3620 North Josey Lane, Carrollton, Texas |
| Authorized Official Name and Position | Gordon Tanner Foote (OWNER) |
| Authorized Official Contact | 9723942137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Counseling Place 3620 North Josey Lane Suite 114 Carrollton TX 75007-3151 Ph: (972) 394-2137 | Family Counseling Place 3620 North Josey Lane Suite 114 Carrollton TX 75007-3151 Ph: (972) 394-2137 |
| NPI Number | 1285761684 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285761684 | NPI | - | NPPES |
| 0040QA | Other | TX | BLUE CROSS BLUE SHIELD |
| 295539 | Other | TX | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16275 (Texas) | Primary |
| 1041C0700X | Social Worker - Clinical | 2996 (Oklahoma) | Secondary |
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