| Olivia Wedel Counseling & Consulting, Pllc | |
|
409 W Wall St Grapevine TX 76051-5203 | |
| (817) 264-6604 | |
| Not Available |
| Full Name | Olivia Wedel Counseling & Consulting, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 409 W Wall St, Grapevine, Texas |
| Authorized Official Name and Position | Olivia Wedel (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8177219570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Wedel Counseling & Consulting, Pllc 603 Bayless Dr Euless TX 76040-5101 Ph: (817) 721-9570 | Olivia Wedel Counseling & Consulting, Pllc 409 W Wall St Grapevine TX 76051-5203 Ph: (817) 264-6604 |
| NPI Number | 1467127225 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 08/13/2021 |
| Certification Date | 08/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467127225 | NPI | - | NPPES |
| 1356758718 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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