| Opeulent Group, Llc | |
|
821 S Polk St Apt 2022 Desoto TX 75115-7645 | |
| (214) 517-1550 | |
| (469) 297-5116 |
| Full Name | Opeulent Group, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 821 S Polk St Apt 2022, Desoto, Texas |
| Authorized Official Name and Position | Paula London Scott (CEO/THERAPIST) |
| Authorized Official Contact | 2145171550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opeulent Group, Llc 821 S Polk St Apt 2022 Desoto TX 75115-7645 Ph: (214) 517-1550 | Opeulent Group, Llc 821 S Polk St Apt 2022 Desoto TX 75115-7645 Ph: (214) 517-1550 |
| NPI Number | 1629843891 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629843891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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