| Pristine Advancements Llc | |
|
425 Mccaleb Rd Montgomery TX 77316-5219 | |
| (832) 797-8451 | |
| Not Available |
| Full Name | Pristine Advancements Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 425 Mccaleb Rd, Montgomery, Texas |
| Authorized Official Name and Position | Tiffani Dilworth (CEO) |
| Authorized Official Contact | 8327544342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pristine Advancements Llc 594 Sawdust Rd Ste 153 Spring TX 77380-2215 Ph: (832) 754-4342 | Pristine Advancements Llc 425 Mccaleb Rd Montgomery TX 77316-5219 Ph: (832) 797-8451 |
| NPI Number | 1295403442 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 01/20/2022 |
| Certification Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295403442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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