| Gardenia Thorn Therapeutic Alternatives, Pllc | |
|
580 Devon St Beaumont TX 77707-2050 | |
| (409) 893-1720 | |
| Not Available |
| Full Name | Gardenia Thorn Therapeutic Alternatives, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 580 Devon St, Beaumont, Texas |
| Authorized Official Name and Position | Daphne Dione Jones (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4098931720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gardenia Thorn Therapeutic Alternatives, Pllc 580 Devon St Beaumont TX 77707-2050 Ph: (409) 893-1720 | Gardenia Thorn Therapeutic Alternatives, Pllc 580 Devon St Beaumont TX 77707-2050 Ph: (409) 893-1720 |
| NPI Number | 1528893922 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528893922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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