| The Haven Wellness Center Llc | |
|
4310 Gaston Ave Ste 200 Dallas TX 75246-1312 | |
| (214) 535-8374 | |
| Not Available |
| Full Name | The Haven Wellness Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 4310 Gaston Ave Ste 200, Dallas, Texas |
| Authorized Official Name and Position | Jessica L Brazeal (CO-OWNER AND THERAPIST) |
| Authorized Official Contact | 2145358374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Haven Wellness Center Llc 4310 Gaston Ave Ste 200 Dallas TX 75246-1312 Ph: (214) 535-8374 | The Haven Wellness Center Llc 4310 Gaston Ave Ste 200 Dallas TX 75246-1312 Ph: (214) 535-8374 |
| NPI Number | 1033989074 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033989074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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