| Pivotal Moments Counseling Center, Pllc | |
|
2315 Balleybrooke Dr Lewisville TX 75077-7634 | |
| (469) 693-7564 | |
| Not Available |
| Full Name | Pivotal Moments Counseling Center, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2315 Balleybrooke Dr, Lewisville, Texas |
| Authorized Official Name and Position | Stacy M Teague (OWNER/PRACTITIONER) |
| Authorized Official Contact | 9728185981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Moments Counseling Center, Pllc 2315 Balleybrooke Dr Lewisville TX 75077-7634 Ph: () - | Pivotal Moments Counseling Center, Pllc 2315 Balleybrooke Dr Lewisville TX 75077-7634 Ph: (469) 693-7564 |
| NPI Number | 1750187225 |
|---|---|
| Provider Enumeration Date | 02/24/2025 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750187225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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