| St. Mary's Ii Center For Exceptional Children,llc | |
|
2300 Highland Village Rd Building 8, Suite 810 Highland Village TX 75077-7148 | |
| (972) 966-1080 | |
| Not Available |
| Full Name | St. Mary's Ii Center For Exceptional Children,llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2300 Highland Village Rd, Highland Village, Texas |
| Authorized Official Name and Position | Raymond C Power (MANAGING MEMBER) |
| Authorized Official Contact | 9729661080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary's Ii Center For Exceptional Children,llc 2300 Highland Village Rd Building 8, Suite 810 Highland Village TX 75077-7148 Ph: (972) 966-1080 | St. Mary's Ii Center For Exceptional Children,llc 2300 Highland Village Rd Building 8, Suite 810 Highland Village TX 75077-7148 Ph: (972) 966-1080 |
| NPI Number | 1205231198 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205231198 | NPI | - | NPPES |
| 193400000X | Other | TX | SINGLE SPECIALTY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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