| Denovo Therapy Llc | |
|
2345 50th St Ste 501 Lubbock TX 79412-2565 | |
| (806) 370-3157 | |
| (806) 243-4002 |
| Full Name | Denovo Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 2345 50th St Ste 501, Lubbock, Texas |
| Authorized Official Name and Position | Benjamin Mccauley (DIRECTOR) |
| Authorized Official Contact | 8063703157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denovo Therapy Llc 6803 Indiana Ave Lubbock TX 79413-6109 Ph: (806) 370-3157 | Denovo Therapy Llc 2345 50th St Ste 501 Lubbock TX 79412-2565 Ph: (806) 370-3157 |
| NPI Number | 1023627304 |
|---|---|
| Provider Enumeration Date | 07/23/2020 |
| Last Update Date | 12/09/2020 |
| Certification Date | 12/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023627304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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