| Dogwood Mental Health And Wellness, Llc | |
|
412 North St Suite B Nacogdoches TX 75961-5077 | |
| (936) 622-0993 | |
| (936) 622-0994 |
| Full Name | Dogwood Mental Health And Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 412 North St, Nacogdoches, Texas |
| Authorized Official Name and Position | Haskell Stephen Cooper (MANAGING MEMBER) |
| Authorized Official Contact | 9366220993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dogwood Mental Health And Wellness, Llc Po Box 632279 Nacogdoches TX 75963-2279 Ph: (936) 622-0993 | Dogwood Mental Health And Wellness, Llc 412 North St Suite B Nacogdoches TX 75961-5077 Ph: (936) 622-0993 |
| NPI Number | 1366865370 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 02/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366865370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34017 (Texas) | Primary |
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