| Green Light Counseling Center | |
|
602 Strada Cir Ste 110 Mansfield TX 76063-3201 | |
| (817) 842-9081 | |
| Not Available |
| Full Name | Green Light Counseling Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 602 Strada Cir Ste 110, Mansfield, Texas |
| Authorized Official Name and Position | Elizabeth Maddaford (OWNER) |
| Authorized Official Contact | 8178429081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Light Counseling Center 201 Silver Rose Blvd Burleson TX 76028-2886 Ph: (181) 769-0842 | Green Light Counseling Center 602 Strada Cir Ste 110 Mansfield TX 76063-3201 Ph: (817) 842-9081 |
| NPI Number | 1730464090 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 10/19/2011 |
| Medicare PECOS PAC ID | 4183899537 |
|---|---|
| Medicare Enrollment ID | O20111213000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730464090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 29770 (Texas) | Primary |
| Provider Name | Elizabeth S Maddaford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457538480 PECOS PAC ID: 9335226265 Enrollment ID: I20080402000823 |
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