| Mangold Enterprise | |
|
2417 Hobbs Rd Ste 105 Amarillo TX 79109-1533 | |
| (806) 471-0334 | |
| Not Available |
| Full Name | Mangold Enterprise |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2417 Hobbs Rd Ste 105, Amarillo, Texas |
| Authorized Official Name and Position | Kelli Mangold (OWNER) |
| Authorized Official Contact | 8064710334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mangold Enterprise Po Box 271 Canyon TX 79015-0271 Ph: (806) 471-0334 | Mangold Enterprise 2417 Hobbs Rd Ste 105 Amarillo TX 79109-1533 Ph: (806) 471-0334 |
| NPI Number | 1477201721 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477201721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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