| Sharon R. Gough Grief And Trauma Therapy Pc | |
|
880 Prospector Trl Ste 100 Harker Heights TX 76548-2700 | |
| (254) 690-1512 | |
| (254) 690-1532 |
| Full Name | Sharon R. Gough Grief And Trauma Therapy Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 880 Prospector Trl Ste 100, Harker Heights, Texas |
| Authorized Official Name and Position | Sharon Rose Gough (OWNER) |
| Authorized Official Contact | 5755900238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon R. Gough Grief And Trauma Therapy Pc 1204 Mountain View Dr Harker Heights TX 76548-8000 Ph: (575) 590-0238 | Sharon R. Gough Grief And Trauma Therapy Pc 880 Prospector Trl Ste 100 Harker Heights TX 76548-2700 Ph: (254) 690-1512 |
| NPI Number | 1801407317 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 08/10/2020 |
| Certification Date | 08/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801407317 | NPI | - | NPPES |
| 1750554374 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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