| Mental Health Defense And Fitness, Pllc | |
|
2660 Sweetgum Ln Beaumont TX 77703-4926 | |
| (409) 812-5607 | |
| (409) 403-8432 |
| Full Name | Mental Health Defense And Fitness, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2660 Sweetgum Ln, Beaumont, Texas |
| Authorized Official Name and Position | Rory Carothers (THERAPIST) |
| Authorized Official Contact | 4097902095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Defense And Fitness, Pllc 6945 Killarney Dr Beaumont TX 77706-4115 Ph: (409) 812-5607 | Mental Health Defense And Fitness, Pllc 2660 Sweetgum Ln Beaumont TX 77703-4926 Ph: (409) 812-5607 |
| NPI Number | 1598300964 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 06/07/2023 |
| Certification Date | 06/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598300964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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