| Deep Waters Therapy, Pllc | |
|
11472 Clover Knoll Dr Frisco TX 75035-8607 | |
| (904) 390-1077 | |
| Not Available |
| Full Name | Deep Waters Therapy, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11472 Clover Knoll Dr, Frisco, Texas |
| Authorized Official Name and Position | Kylie Henry (OWNER) |
| Authorized Official Contact | 9403901077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Waters Therapy, Pllc 11472 Clover Knoll Dr Frisco TX 75035-8607 Ph: (904) 390-1077 | Deep Waters Therapy, Pllc 11472 Clover Knoll Dr Frisco TX 75035-8607 Ph: (904) 390-1077 |
| NPI Number | 1104798388 |
|---|---|
| Provider Enumeration Date | 09/18/2025 |
| Last Update Date | 09/18/2025 |
| Certification Date | 09/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104798388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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