| Growing Seed Life Enrichment Center Of Texas, Llc. | |
|
200 W Marshall St Ste E1 Pittsburg TX 75686-1395 | |
| (903) 853-5053 | |
| (866) 414-6442 |
| Full Name | Growing Seed Life Enrichment Center Of Texas, Llc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 200 W Marshall St Ste E1, Pittsburg, Texas |
| Authorized Official Name and Position | Keith Glenn Mcgee (CEO) |
| Authorized Official Contact | 9038535053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Seed Life Enrichment Center Of Texas, Llc. Po Box 444 Naples TX 75568-0444 Ph: (682) 553-0417 | Growing Seed Life Enrichment Center Of Texas, Llc. 200 W Marshall St Ste E1 Pittsburg TX 75686-1395 Ph: (903) 853-5053 |
| NPI Number | 1245536127 |
|---|---|
| Provider Enumeration Date | 02/09/2011 |
| Last Update Date | 02/05/2022 |
| Certification Date | 02/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245536127 | NPI | - | NPPES |
| 1245536127 | Medicaid | TX | |
| 1205076932 | Medicaid | TX | |
| 1841430576 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 59169 (Texas) | Primary |
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