| K Chisolm Llc | |
|
1710 Bella Ln Mansfield TX 76063-4470 | |
| (240) 642-1400 | |
| Not Available |
| Full Name | K Chisolm Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1710 Bella Ln, Mansfield, Texas |
| Authorized Official Name and Position | Kamaria Chisolm (PSYCHOLOGIST) |
| Authorized Official Contact | 2406421400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K Chisolm Llc Po Box 1743 Mansfield TX 76063-0010 Ph: (240) 642-1400 | K Chisolm Llc 1710 Bella Ln Mansfield TX 76063-4470 Ph: (240) 642-1400 |
| NPI Number | 1487331963 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487331963 | NPI | - | NPPES |
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