| Premiere Counseling And Recovery Services | |
|
1341 W Mockingbird Ln Suite 600, West Tower Dallas TX 75247-6913 | |
| (214) 274-6455 | |
| Not Available |
| Full Name | Premiere Counseling And Recovery Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1341 W Mockingbird Ln, Dallas, Texas |
| Authorized Official Name and Position | Lamont Cornelius Martin (DIRECTOR) |
| Authorized Official Contact | 2142746455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiere Counseling And Recovery Services Po Box 190841 Dallas TX 75219-0841 Ph: (214) 274-6455 | Premiere Counseling And Recovery Services 1341 W Mockingbird Ln Suite 600, West Tower Dallas TX 75247-6913 Ph: (214) 274-6455 |
| NPI Number | 1417322157 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 12/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417322157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12476 (Texas) | Primary |
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