| Intentional Life Psychiatry Pllc | |
|
111 Dallas St Ste 201 Argyle TX 76226-2701 | |
| (940) 277-7373 | |
| Not Available |
| Full Name | Intentional Life Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 111 Dallas St Ste 201, Argyle, Texas |
| Authorized Official Name and Position | Kelly Quakensbush (PHYSICIAN OWNER) |
| Authorized Official Contact | 9402777373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Life Psychiatry Pllc 525 Hemming Rd Valley View TX 76272-7519 Ph: (940) 277-7373 | Intentional Life Psychiatry Pllc 111 Dallas St Ste 201 Argyle TX 76226-2701 Ph: (940) 277-7373 |
| NPI Number | 1841063856 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841063856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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