| The Well House Group, Pllc | |
|
2140 E Southlake Blvd Suite L, 687 Southlake TX 76092-6516 | |
| (817) 371-0863 | |
| Not Available |
| Full Name | The Well House Group, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2140 E Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Jennifer Kruse (MANAGER) |
| Authorized Official Contact | 8173710863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Well House Group, Pllc 2140 E Southlake Blvd Suite L, 687 Southlake TX 76092-6516 Ph: (817) 371-0863 | The Well House Group, Pllc 2140 E Southlake Blvd Suite L, 687 Southlake TX 76092-6516 Ph: (817) 371-0863 |
| NPI Number | 1902296379 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902296379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 67477 (Texas) | Primary |
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