| Star Council | |
|
118 W Heard St Cleburne TX 76033-3836 | |
| (817) 645-5517 | |
| (817) 645-5715 |
| Full Name | Star Council |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 118 W Heard St, Cleburne, Texas |
| Authorized Official Name and Position | Kelly Kristine Mccoy (COUNSELOR) |
| Authorized Official Contact | 8175017098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Council 118 W Heard St Cleburne TX 76033-3836 Ph: (817) 645-5517 | Star Council 118 W Heard St Cleburne TX 76033-3836 Ph: (817) 645-5517 |
| NPI Number | 1275807216 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 03/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275807216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 68618 (Texas) | Primary |
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