| Fisher Institute Of Trauma Recovery Pllc | |
|
109 W Tyler St Ste F Gilmer TX 75644-2239 | |
| (903) 680-0678 | |
| Not Available |
| Full Name | Fisher Institute Of Trauma Recovery Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 109 W Tyler St Ste F, Gilmer, Texas |
| Authorized Official Name and Position | Pamela Fisher (OWNER) |
| Authorized Official Contact | 9032352915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fisher Institute Of Trauma Recovery Pllc 109 W Tyler St Ste F Gilmer TX 75644-2239 Ph: (903) 235-2915 | Fisher Institute Of Trauma Recovery Pllc 109 W Tyler St Ste F Gilmer TX 75644-2239 Ph: (903) 680-0678 |
| NPI Number | 1316562358 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 06/16/2020 |
| Certification Date | 06/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316562358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Lifeworks Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E Jefferson St, Suite 4, Gilmer, TX 75644 Phone: 903-841-4308 Fax: 903-841-4308 |