| Renewing Dfw, Pllc | |
|
1550 Norwood Dr Ste 120 Hurst TX 76054-3646 | |
| (682) 238-0211 | |
| Not Available |
| Full Name | Renewing Dfw, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1550 Norwood Dr Ste 120, Hurst, Texas |
| Authorized Official Name and Position | Alicia Ceynar (LICENSE) |
| Authorized Official Contact | 6822380211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewing Dfw, Pllc 210 N Ector Dr Unit 852 Euless TX 76039-8630 Ph: (682) 238-0211 | Renewing Dfw, Pllc 1550 Norwood Dr Ste 120 Hurst TX 76054-3646 Ph: (682) 238-0211 |
| NPI Number | 1255051611 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255051611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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