| Hidden Candle, Pllc | |
|
1664 Keller Pkwy Ste 101 Keller TX 76248-3760 | |
| (817) 954-3201 | |
| (817) 854-3201 |
| Full Name | Hidden Candle, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1664 Keller Pkwy Ste 101, Keller, Texas |
| Authorized Official Name and Position | Melisa Valeri Elieson (OWNDER) |
| Authorized Official Contact | 8178543201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hidden Candle, Pllc 1716 Rosebriar Ln Keller TX 76248-7318 Ph: (214) 293-2936 | Hidden Candle, Pllc 1664 Keller Pkwy Ste 101 Keller TX 76248-3760 Ph: (817) 954-3201 |
| NPI Number | 1184497448 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184497448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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