| Stream Christian Counseling, Pllc | |
|
3012 Riverlakes Dr Hurst TX 76053-7436 | |
| (817) 269-9973 | |
| Not Available |
| Full Name | Stream Christian Counseling, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3012 Riverlakes Dr, Hurst, Texas |
| Authorized Official Name and Position | Paula Dianne Odom (MANAGING MEMBER) |
| Authorized Official Contact | 8172699973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stream Christian Counseling, Pllc 3012 Riverlakes Dr Hurst TX 76053-7436 Ph: (817) 269-9973 | Stream Christian Counseling, Pllc 3012 Riverlakes Dr Hurst TX 76053-7436 Ph: (817) 269-9973 |
| NPI Number | 1528674405 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 03/06/2022 |
| Certification Date | 03/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528674405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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