| Spirit Refined Llc | |
|
3406 Founders Way Melissa TX 75454-0210 | |
| (915) 539-6326 | |
| Not Available |
| Full Name | Spirit Refined Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3406 Founders Way, Melissa, Texas |
| Authorized Official Name and Position | Sarah Underbrink (LCSW) |
| Authorized Official Contact | 9155396326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit Refined Llc 3406 Founders Way Melissa TX 75454-0210 Ph: (915) 539-6326 | Spirit Refined Llc 3406 Founders Way Melissa TX 75454-0210 Ph: (915) 539-6326 |
| NPI Number | 1215501390 |
|---|---|
| Provider Enumeration Date | 05/13/2021 |
| Last Update Date | 05/13/2021 |
| Certification Date | 05/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215501390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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