Wholesome Intimacy Pllc | |
600 Strada Cir Suite 112 Mansfield TX 76063-3201 | |
(817) 456-4893 | |
Not Available |
Full Name | Wholesome Intimacy Pllc |
---|---|
Speciality | Counselor - Professional |
Location | 600 Strada Cir, Mansfield, Texas |
Authorized Official Name and Position | Lila J Stephenson (DIRECTOR) |
Authorized Official Contact | 8174564893 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wholesome Intimacy Pllc Po Box 1138 Mansfield TX 76063-1138 Ph: (817) 456-4893 | Wholesome Intimacy Pllc 600 Strada Cir Suite 112 Mansfield TX 76063-3201 Ph: (817) 456-4893 |
NPI Number | 1205209756 |
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Provider Enumeration Date | 11/05/2015 |
Last Update Date | 01/12/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205209756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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