| Gifted Souls Mental Health Community Center Llc | |
|
17480 Dallas Pkwy Ste 213 Dallas TX 75287-7304 | |
| (469) 510-4291 | |
| Not Available |
| Full Name | Gifted Souls Mental Health Community Center Llc |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 17480 Dallas Pkwy Ste 213, Dallas, Texas |
| Authorized Official Name and Position | Andre Mayo (OWNER) |
| Authorized Official Contact | 4695104291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gifted Souls Mental Health Community Center Llc 17480 Dallas Pkwy Ste 213 Dallas TX 75287-7304 Ph: () - | Gifted Souls Mental Health Community Center Llc 17480 Dallas Pkwy Ste 213 Dallas TX 75287-7304 Ph: (469) 510-4291 |
| NPI Number | 1508456047 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508456047 | NPI | - | NPPES |
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