| Addijackllc | |
|
145 Chaparral Est Shady Shores TX 76208-5735 | |
| (940) 595-3778 | |
| Not Available |
| Full Name | Addijackllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 145 Chaparral Est, Shady Shores, Texas |
| Authorized Official Name and Position | Michele Menzie (OWNER AND THERAPIST) |
| Authorized Official Contact | 9405953778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addijackllc 145 Chaparral Est Shady Shores TX 76208-5735 Ph: (940) 595-3778 | Addijackllc 145 Chaparral Est Shady Shores TX 76208-5735 Ph: (940) 595-3778 |
| NPI Number | 1972466753 |
|---|---|
| Provider Enumeration Date | 12/08/2025 |
| Last Update Date | 12/08/2025 |
| Certification Date | 12/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972466753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |