| Trauma Informed Restoration Group, Pllc | |
|
7201 Livingston Dr Denton TX 76210-3493 | |
| (940) 297-9641 | |
| Not Available |
| Full Name | Trauma Informed Restoration Group, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7201 Livingston Dr, Denton, Texas |
| Authorized Official Name and Position | Kassie Powell (OWNER/CEO) |
| Authorized Official Contact | 9402979641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trauma Informed Restoration Group, Pllc 7201 Livingston Dr Denton TX 76210-3493 Ph: (940) 297-9641 | Trauma Informed Restoration Group, Pllc 7201 Livingston Dr Denton TX 76210-3493 Ph: (940) 297-9641 |
| NPI Number | 1528891637 |
|---|---|
| Provider Enumeration Date | 08/23/2024 |
| Last Update Date | 08/23/2024 |
| Certification Date | 08/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528891637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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