| The Conscious Mind Counseling Group Pllc | |
|
2306 Guthrie Rd Ste 260k Garland TX 75043-5967 | |
| (214) 530-9377 | |
| Not Available |
| Full Name | The Conscious Mind Counseling Group Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2306 Guthrie Rd Ste 260k, Garland, Texas |
| Authorized Official Name and Position | Lennard Daryl Lathan (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2145309377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Conscious Mind Counseling Group Pllc 2306 Guthrie Rd Ste 260k Garland TX 75043-5967 Ph: (214) 530-9377 | The Conscious Mind Counseling Group Pllc 2306 Guthrie Rd Ste 260k Garland TX 75043-5967 Ph: (214) 530-9377 |
| NPI Number | 1972260370 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Medicare PECOS PAC ID | 0345692190 |
|---|---|
| Medicare Enrollment ID | O20240117004236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972260370 | NPI | - | NPPES |
| Provider Name | Lennard Daryl Lathan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528492915 PECOS PAC ID: 3072965821 Enrollment ID: I20241029002412 |
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