| Purposeful Elevation Counseling Pllc | |
|
1636 N Hampton Rd Ste 215 Desoto TX 75115-8607 | |
| (469) 491-0820 | |
| Not Available |
| Full Name | Purposeful Elevation Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1636 N Hampton Rd Ste 215, Desoto, Texas |
| Authorized Official Name and Position | Faryn Henderson (OWNER) |
| Authorized Official Contact | 4694910820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purposeful Elevation Counseling Pllc 1636 N Hampton Rd Ste 215 Desoto TX 75115-8607 Ph: (469) 491-0820 | Purposeful Elevation Counseling Pllc 1636 N Hampton Rd Ste 215 Desoto TX 75115-8607 Ph: (469) 491-0820 |
| NPI Number | 1053996801 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 03/12/2021 |
| Certification Date | 03/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053996801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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