Recovered Soul | |
5401 Naaman Forest Blvd Apt 426 Garland TX 75044-5615 | |
(469) 900-7964 | |
Not Available |
Full Name | Recovered Soul |
---|---|
Speciality | Social Worker - Clinical |
Location | 5401 Naaman Forest Blvd Apt 426, Garland, Texas |
Authorized Official Name and Position | Kamille Lucas (THERAPIST) |
Authorized Official Contact | 4699007964 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Recovered Soul 5401 Naaman Forest Blvd Apt 426 Garland TX 75044-5615 Ph: (469) 900-7964 | Recovered Soul 5401 Naaman Forest Blvd Apt 426 Garland TX 75044-5615 Ph: (469) 900-7964 |
NPI Number | 1740064773 |
---|---|
Provider Enumeration Date | 08/21/2023 |
Last Update Date | 10/11/2023 |
Certification Date | 10/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740064773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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