| Shawn Boggs Counseling, Pllc | |
|
601 S Main St Suite 212 Grapevine TX 76051-5382 | |
| (817) 410-4772 | |
| (817) 410-4773 |
| Full Name | Shawn Boggs Counseling, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 601 S Main St, Grapevine, Texas |
| Authorized Official Name and Position | Shawn Dewayne Boggs (OWNER & OPERATOR) |
| Authorized Official Contact | 8174104772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Boggs Counseling, Pllc 601 S Main St Suite 212 Grapevine TX 76051-5382 Ph: (817) 410-4772 | Shawn Boggs Counseling, Pllc 601 S Main St Suite 212 Grapevine TX 76051-5382 Ph: (817) 410-4772 |
| NPI Number | 1063779239 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 10/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063779239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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