| Success On Purpose | |
|
402 W Danieldale Rd Duncanville TX 75137-3928 | |
| (972) 298-3614 | |
| (972) 709-8145 |
| Full Name | Success On Purpose |
|---|---|
| Speciality | Counselor - Professional |
| Location | 402 W Danieldale Rd, Duncanville, Texas |
| Authorized Official Name and Position | Linda Johnson (PROVIDER) |
| Authorized Official Contact | 9722983614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Success On Purpose Po Box 380128 Duncanville TX 75138-0128 Ph: (972) 298-3614 | Success On Purpose 402 W Danieldale Rd Duncanville TX 75137-3928 Ph: (972) 298-3614 |
| NPI Number | 1538490354 |
|---|---|
| Provider Enumeration Date | 01/18/2010 |
| Last Update Date | 01/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538490354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7955 (Texas) | Primary |
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