| Freestyle Supervision And Emdr Group Llc | |
|
4849 Greenville Ave Ste 100 Dallas TX 75206-4187 | |
| (972) 885-0106 | |
| Not Available |
| Full Name | Freestyle Supervision And Emdr Group Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4849 Greenville Ave Ste 100, Dallas, Texas |
| Authorized Official Name and Position | Cassandra Holt (CLINICAL CO- DIRECTOR) |
| Authorized Official Contact | 9728850106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freestyle Supervision And Emdr Group Llc 4849 Greenville Ave Ste 100 Dallas TX 75206-4187 Ph: () - | Freestyle Supervision And Emdr Group Llc 4849 Greenville Ave Ste 100 Dallas TX 75206-4187 Ph: (972) 885-0106 |
| NPI Number | 1124879762 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Certification Date | 03/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124879762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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