| Leadher Well Llc | |
|
5473 Blair Rd Ste 100 Num 167670 Dallas TX 75231 | |
| (214) 561-7447 | |
| Not Available |
| Full Name | Leadher Well Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5473 Blair Rd, Dallas, Texas |
| Authorized Official Name and Position | Angelou Deshun Johnson (CEO) |
| Authorized Official Contact | 2145617447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leadher Well Llc 5473 Blair Rd Ste 100 Num 167670 Dallas TX 75231 Ph: (214) 561-7447 | Leadher Well Llc 5473 Blair Rd Ste 100 Num 167670 Dallas TX 75231 Ph: (214) 561-7447 |
| NPI Number | 1962385690 |
|---|---|
| Provider Enumeration Date | 07/29/2025 |
| Last Update Date | 07/29/2025 |
| Certification Date | 07/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962385690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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