| Mayan Spirit Llc | |
|
17028 John Michael Dr Manor TX 78653-3393 | |
| (512) 779-5147 | |
| Not Available |
| Full Name | Mayan Spirit Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 17028 John Michael Dr, Manor, Texas |
| Authorized Official Name and Position | Melissa Griffin (OWNER) |
| Authorized Official Contact | 5127795147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayan Spirit Llc 17028 John Michael Dr Manor TX 78653-3393 Ph: (512) 779-5147 | Mayan Spirit Llc 17028 John Michael Dr Manor TX 78653-3393 Ph: (512) 779-5147 |
| NPI Number | 1194510131 |
|---|---|
| Provider Enumeration Date | 04/10/2025 |
| Last Update Date | 04/10/2025 |
| Certification Date | 04/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194510131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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