| Margory A Cantrell Ma Lpc Pllc | |
|
807 8th St Ste 801 Wichita Falls TX 76301-3319 | |
| (940) 781-2256 | |
| Not Available |
| Full Name | Margory A Cantrell Ma Lpc Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 807 8th St Ste 801, Wichita Falls, Texas |
| Authorized Official Name and Position | Margory Cantrell (PRESIDENT) |
| Authorized Official Contact | 9407812256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Margory A Cantrell Ma Lpc Pllc 807 8th St Ste 801 Wichita Falls TX 76301-3319 Ph: (940) 781-2256 | Margory A Cantrell Ma Lpc Pllc 807 8th St Ste 801 Wichita Falls TX 76301-3319 Ph: (940) 781-2256 |
| NPI Number | 1811553985 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 05/14/2019 |
| Medicare PECOS PAC ID | 7618409517 |
|---|---|
| Medicare Enrollment ID | O20241016004473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811553985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Margory Ann Cantrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134784374 PECOS PAC ID: 8224478169 Enrollment ID: I20240425002963 |
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