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3605 Ne Loop 286 Ste 900 Paris TX 75460 | |
| (903) 715-8732 | |
| (903) 782-9082 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3605 Ne Loop 286, Paris, Texas |
| Authorized Official Name and Position | Heide M Grant (OWNER OPERATOR) |
| Authorized Official Contact | 9035176101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3605 Ne Loop 286 Ste 900 Paris TX 75460 Ph: (903) 715-8732 | 3605 Ne Loop 286 Ste 900 Paris TX 75460 Ph: (903) 715-8732 |
| NPI Number | 1932393907 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 08/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932393907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 18698 (Texas) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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