| Food Freedom Therapy, Pllc | |
|
920 S Main St Ste 198 Grapevine TX 76051-7516 | |
| (720) 252-2908 | |
| Not Available |
| Full Name | Food Freedom Therapy, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 920 S Main St Ste 198, Grapevine, Texas |
| Authorized Official Name and Position | Amy Cherie Miller (OWNER / THERAPIST) |
| Authorized Official Contact | 7202522908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Food Freedom Therapy, Pllc 6922 Crystal Ln North Richland Hills TX 76182-3635 Ph: (720) 252-2908 | Food Freedom Therapy, Pllc 920 S Main St Ste 198 Grapevine TX 76051-7516 Ph: (720) 252-2908 |
| NPI Number | 1659971778 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659971778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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