Phoenix Counseling Services Llc | |
8700 Us Highway 380 Ste 502 Crossroads TX 76227-2661 | |
(469) 290-2353 | |
Not Available |
Full Name | Phoenix Counseling Services Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 8700 Us Highway 380 Ste 502, Crossroads, Texas |
Authorized Official Name and Position | Delaine Johnson (OWNER) |
Authorized Official Contact | 4692902353 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phoenix Counseling Services Llc 8700 Us Highway 380 Ste 502 Crossroads TX 76227-2661 Ph: (469) 290-2353 | Phoenix Counseling Services Llc 8700 Us Highway 380 Ste 502 Crossroads TX 76227-2661 Ph: (469) 290-2353 |
NPI Number | 1871262519 |
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Provider Enumeration Date | 09/07/2021 |
Last Update Date | 09/27/2021 |
Certification Date | 09/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871262519 | NPI | - | NPPES |
1194146050 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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