| Titanium Counseling Pllc | |
|
675 Town Square Blvd Suite 200, Bldg 1a Garland TX 75040-2992 | |
| (972) 768-9653 | |
| (214) 299-7601 |
| Full Name | Titanium Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 675 Town Square Blvd, Garland, Texas |
| Authorized Official Name and Position | Gordon Lance Munn (PRESIDENT) |
| Authorized Official Contact | 9727689653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Titanium Counseling Pllc 675 Town Square Blvd Suite 200, Bldg 1a Garland TX 75040-2992 Ph: (972) 768-9653 | Titanium Counseling Pllc 675 Town Square Blvd Suite 200, Bldg 1a Garland TX 75040-2992 Ph: (972) 768-9653 |
| NPI Number | 1740646926 |
|---|---|
| Provider Enumeration Date | 01/04/2016 |
| Last Update Date | 01/11/2016 |
| Medicare PECOS PAC ID | 4688970643 |
|---|---|
| Medicare Enrollment ID | O20160317000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740646926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22687 (Texas) | Primary |
| Provider Name | Gordon L Munn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417957192 PECOS PAC ID: 8022177526 Enrollment ID: I20081112000299 |
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