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3636 N Macarthur Blvd Suite 160 Irving TX 75062-3601 | |
| (972) 375-1200 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3636 N Macarthur Blvd, Irving, Texas |
| Authorized Official Name and Position | Aisha D Holman (CLINICAL DIRECTOR / OWNER) |
| Authorized Official Contact | 2149268425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3636 N Macarthur Blvd Ste 160 Irving TX 75062-3601 Ph: (972) 375-1200 | 3636 N Macarthur Blvd Suite 160 Irving TX 75062-3601 Ph: (972) 375-1200 |
| NPI Number | 1184054843 |
|---|---|
| Provider Enumeration Date | 11/17/2013 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184054843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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