| Origins Counseling Llc | |
|
12870 Hillcrest Rd Ste H226 Dallas TX 75230-1531 | |
| (214) 817-4964 | |
| (210) 634-3961 |
| Full Name | Origins Counseling Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 12870 Hillcrest Rd Ste H226, Dallas, Texas |
| Authorized Official Name and Position | Anna Lisa De Lima (DIRECTOR OF COMPLIANCE) |
| Authorized Official Contact | 5612018209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Origins Counseling Llc 4001 Maple Ave Ste 300 Dallas TX 75219-3241 Ph: (214) 817-4964 | Origins Counseling Llc 12870 Hillcrest Rd Ste H226 Dallas TX 75230-1531 Ph: (214) 817-4964 |
| NPI Number | 1679116909 |
|---|---|
| Provider Enumeration Date | 10/18/2019 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679116909 | NPI | - | NPPES |
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