| Lazarus Project Group Pllc | |
|
19185 Fm 2252 Garden Ridge TX 78266-2574 | |
| (210) 859-5446 | |
| Not Available |
| Full Name | Lazarus Project Group Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19185 Fm 2252, Garden Ridge, Texas |
| Authorized Official Name and Position | Rolla Merle Bradley (COUNSELOR - OWNER) |
| Authorized Official Contact | 2108595446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazarus Project Group Pllc 9352 Osage Cir Garden Ridge TX 78266-2060 Ph: (210) 859-5446 | Lazarus Project Group Pllc 19185 Fm 2252 Garden Ridge TX 78266-2574 Ph: (210) 859-5446 |
| NPI Number | 1306195151 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 09/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306195151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 14527 (Texas) | Primary |
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