| Life Revise Counseling | |
|
2321 S Belt Line Rd Ste 117 Grand Prairie TX 75051-4181 | |
| (817) 821-3690 | |
| Not Available |
| Full Name | Life Revise Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2321 S Belt Line Rd Ste 117, Grand Prairie, Texas |
| Authorized Official Name and Position | Michelle Palacios (OWNER) |
| Authorized Official Contact | 8178213690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Revise Counseling 2824 Park Place Dr Grand Prairie TX 75052-8521 Ph: (817) 821-3690 | Life Revise Counseling 2321 S Belt Line Rd Ste 117 Grand Prairie TX 75051-4181 Ph: (817) 821-3690 |
| NPI Number | 1043618333 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 12/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043618333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 64640 (Texas) | Primary |
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