| Great Expectations Wellness Center, Llc | |
|
1145 Vernon Dr Providence Village TX 76227-8192 | |
| (517) 763-8316 | |
| Not Available |
| Full Name | Great Expectations Wellness Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1145 Vernon Dr, Providence Village, Texas |
| Authorized Official Name and Position | Tarsha Gibson (OWNER) |
| Authorized Official Contact | 5177638316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Expectations Wellness Center, Llc Po Box 1154 Little Elm TX 75068-1154 Ph: (517) 763-8316 | Great Expectations Wellness Center, Llc 1145 Vernon Dr Providence Village TX 76227-8192 Ph: (517) 763-8316 |
| NPI Number | 1548975089 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 01/19/2023 |
| Certification Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548975089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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