| Illuminate Psychological Services Dfw, Pllc | |
|
3605 Yucca Dr Ste 202 Flower Mound TX 75028-2753 | |
| (940) 368-8497 | |
| Not Available |
| Full Name | Illuminate Psychological Services Dfw, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3605 Yucca Dr Ste 202, Flower Mound, Texas |
| Authorized Official Name and Position | Kristin Harris-mcdonald (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9403688497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminate Psychological Services Dfw, Pllc Po Box 340 Hurst TX 76053-4974 Ph: () - | Illuminate Psychological Services Dfw, Pllc 3605 Yucca Dr Ste 202 Flower Mound TX 75028-2753 Ph: (940) 368-8497 |
| NPI Number | 1649923731 |
|---|---|
| Provider Enumeration Date | 01/30/2022 |
| Last Update Date | 01/30/2022 |
| Certification Date | 01/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649923731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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