| Soda Ventures Llc. D.b.a. 92 Reasons | |
|
1332 Teasley Ln Ste 103a Denton TX 76205-7946 | |
| (469) 986-9629 | |
| (469) 453-3193 |
| Full Name | Soda Ventures Llc. D.b.a. 92 Reasons |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1332 Teasley Ln Ste 103a, Denton, Texas |
| Authorized Official Name and Position | Sophia Cannon (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 4699869629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soda Ventures Llc. D.b.a. 92 Reasons 1332 Teasley Ln Ste 103a Denton TX 76205-7946 Ph: (469) 986-9629 | Soda Ventures Llc. D.b.a. 92 Reasons 1332 Teasley Ln Ste 103a Denton TX 76205-7946 Ph: (469) 986-9629 |
| NPI Number | 1285267914 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 02/21/2020 |
| Certification Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285267914 | NPI | - | NPPES |
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