| Mind Renwal | |
|
1636 N Hampton Rd Suite 101 Desoto TX 75115-8621 | |
| (817) 658-3812 | |
| Not Available |
| Full Name | Mind Renwal |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1636 N Hampton Rd, Desoto, Texas |
| Authorized Official Name and Position | Christine Jeffries (PARTNER) |
| Authorized Official Contact | 8172398297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Renwal 1636 N Hampton Rd Suite 101 Desoto TX 75115-8621 Ph: () - | Mind Renwal 1636 N Hampton Rd Suite 101 Desoto TX 75115-8621 Ph: (817) 658-3812 |
| NPI Number | 1083066013 |
|---|---|
| Provider Enumeration Date | 07/01/2016 |
| Last Update Date | 07/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083066013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 70275 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 66609 (Texas) | Primary |
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