| Heritage Behavioral Health Center | |
|
2485 E Southlake Blvd Suite 180 Southlake TX 76092-6686 | |
| (817) 488-9697 | |
| (817) 488-9656 |
| Full Name | Heritage Behavioral Health Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2485 E Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Jeanne Renee Lozano (OWNER) |
| Authorized Official Contact | 8174889697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Behavioral Health Center 2485 E Southlake Blvd Suite 180 Southlake TX 76092-6686 Ph: (817) 488-9697 | Heritage Behavioral Health Center 2485 E Southlake Blvd Suite 180 Southlake TX 76092-6686 Ph: (817) 488-9697 |
| NPI Number | 1053545509 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053545509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12584 (Texas) | Primary |
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