Momfully You, Pllc | |
2250 S Valley Pkwy Apt 4212 Lewisville TX 75067-2058 | |
(731) 612-1417 | |
Not Available |
Full Name | Momfully You, Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2250 S Valley Pkwy Apt 4212, Lewisville, Texas |
Authorized Official Name and Position | Chasity Holcomb (THERAPIST) |
Authorized Official Contact | 7316121417 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Momfully You, Pllc Po Box 293152 Lewisville TX 75029-3152 Ph: () - | Momfully You, Pllc 2250 S Valley Pkwy Apt 4212 Lewisville TX 75067-2058 Ph: (731) 612-1417 |
NPI Number | 1083236475 |
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Provider Enumeration Date | 05/08/2020 |
Last Update Date | 05/08/2020 |
Certification Date | 05/08/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083236475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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