| Marriage Fully Alive Llc | |
|
1506 N Greenville Ave Ste 250 Allen TX 75002-8692 | |
| (214) 629-6133 | |
| (972) 943-7128 |
| Full Name | Marriage Fully Alive Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1506 N Greenville Ave Ste 250, Allen, Texas |
| Authorized Official Name and Position | Corey David Allan (OWNER) |
| Authorized Official Contact | 2146296133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marriage Fully Alive Llc 1506 N Greenville Ave Ste 250 Allen TX 75002-8692 Ph: (214) 629-6133 | Marriage Fully Alive Llc 1506 N Greenville Ave Ste 250 Allen TX 75002-8692 Ph: (214) 629-6133 |
| NPI Number | 1891933222 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 01/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891933222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2200944 (Texas) | Primary |
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