|
| |
|
900 E Park Blvd Suite 155 Plano TX 75074-5465 | |
| (214) 883-1226 | |
| (972) 429-1901 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 900 E Park Blvd, Plano, Texas |
| Authorized Official Name and Position | Lena Benton (PRESIDENT) |
| Authorized Official Contact | 2148831226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1481 Wylie TX 75098-1481 Ph: (214) 883-1226 | 900 E Park Blvd Suite 155 Plano TX 75074-5465 Ph: (214) 883-1226 |
| NPI Number | 1558426585 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558426585 | NPI | - | NPPES |
| 026228902 | Medicaid | TX | |
| 184227001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 10294 (Texas) | Primary |
Tcn Pediatric Neurology, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4032 Mcdermott Rd, Suite 100, Plano, TX 75024 Phone: 972-469-9000 Fax: 972-769-0035 | |
Thomas Psychological Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6404 International Pkwy Ste 1010, Plano, TX 75093 Phone: 972-267-1988 Fax: 972-267-3434 | |
Psyclear, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5055 West Park Boulevard, Suite 400, Plano, TX 75093 Phone: 972-824-6577 | |
Autism Diagnostics Services Of Texas, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 Mcdermott Rd Ste 100, Plano, TX 75024 Phone: 855-295-3276 Fax: 888-588-2752 | |
Plano Neurology, Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4601 Old Shepard Pl, #406, Plano, TX 75093 Phone: 972-867-3535 Fax: 972-867-3530 | |
Smart Neuro Health & Wellness Professionals Texas Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6839 Communications Pkwy, Plano, TX 75024 Phone: 469-225-0245 | |
Joel D Campbell, M.d., P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6124 W Parker Rd, Suite 432, Plano, TX 75093 Phone: 972-403-3100 Fax: 972-403-3105 |