| Village Connect | |
|
1636 N Hampton Rd Ste 101 Desoto TX 75115-8600 | |
| (469) 518-6034 | |
| (972) 224-0711 |
| Full Name | Village Connect |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1636 N Hampton Rd Ste 101, Desoto, Texas |
| Authorized Official Name and Position | Melodi Parker (OWNER) |
| Authorized Official Contact | 4695186034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Connect 1636 N Hampton Rd Ste 101 Desoto TX 75115-8600 Ph: (469) 518-6034 | Village Connect 1636 N Hampton Rd Ste 101 Desoto TX 75115-8600 Ph: (469) 518-6034 |
| NPI Number | 1871152306 |
|---|---|
| Provider Enumeration Date | 06/09/2019 |
| Last Update Date | 06/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871152306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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