| Para Vita Tct Pllc | |
|
844 Old Millwood Rd Rockwall TX 75087-8368 | |
| (972) 653-2919 | |
| Not Available |
| Full Name | Para Vita Tct Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 844 Old Millwood Rd, Rockwall, Texas |
| Authorized Official Name and Position | Ryan Smith (MANAGING MEMBER) |
| Authorized Official Contact | 9726532919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Para Vita Tct Pllc 844 Old Millwood Rd Rockwall TX 75087-8368 Ph: (972) 653-2919 | Para Vita Tct Pllc 844 Old Millwood Rd Rockwall TX 75087-8368 Ph: (972) 653-2919 |
| NPI Number | 1235983339 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235983339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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