| Survivors Studio | |
|
1313 Southeast Pkwy Azle TX 76020-4024 | |
| (817) 415-0511 | |
| Not Available |
| Full Name | Survivors Studio |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1313 Southeast Pkwy, Azle, Texas |
| Authorized Official Name and Position | Karen Kimbrough (OWNER/COUNSELOR) |
| Authorized Official Contact | 8174150511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Survivors Studio 1313 Southeast Pkwy Azle TX 76020-4024 Ph: (817) 415-0511 | Survivors Studio 1313 Southeast Pkwy Azle TX 76020-4024 Ph: (817) 415-0511 |
| NPI Number | 1760141378 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 03/29/2024 |
| Certification Date | 03/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760141378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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