| Living Proof Mental Health, Pllc | |
|
10532 County Road 2452 Royse City TX 75189-7314 | |
| (903) 491-6950 | |
| Not Available |
| Full Name | Living Proof Mental Health, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10532 County Road 2452, Royse City, Texas |
| Authorized Official Name and Position | Logen Ashford (OWNER) |
| Authorized Official Contact | 9034916950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Proof Mental Health, Pllc 10532 County Road 2452 Royse City TX 75189-7314 Ph: (903) 491-6950 | Living Proof Mental Health, Pllc 10532 County Road 2452 Royse City TX 75189-7314 Ph: (903) 491-6950 |
| NPI Number | 1609610831 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609610831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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