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580 S Denton Tap Rd Suite 250 Coppell TX 75019-4098 | |
| (972) 304-1604 | |
| (972) 304-1471 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 580 S Denton Tap Rd, Coppell, Texas |
| Authorized Official Name and Position | Sascha Lowery Webb (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9723041604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
580 S Denton Tap Rd Suite 250 Coppell TX 75019-4098 Ph: (972) 304-1604 | 580 S Denton Tap Rd Suite 250 Coppell TX 75019-4098 Ph: (972) 304-1604 |
| NPI Number | 1104241629 |
|---|---|
| Provider Enumeration Date | 02/19/2014 |
| Last Update Date | 02/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104241629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 64855 (Texas) | Primary |
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