| Sally Pratt Lpc. Pllc | |
|
207 W Hickory St Ste 104 Denton TX 76201-4147 | |
| (972) 741-7232 | |
| (940) 435-0009 |
| Full Name | Sally Pratt Lpc. Pllc |
|---|---|
| Speciality | Counselor |
| Location | 207 W Hickory St Ste 104, Denton, Texas |
| Authorized Official Name and Position | Sally A Pratt (OWNER) |
| Authorized Official Contact | 9727417232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Pratt Lpc. Pllc 207 W Hickory St Ste 104 Denton TX 76201-4147 Ph: (972) 741-7232 | Sally Pratt Lpc. Pllc 207 W Hickory St Ste 104 Denton TX 76201-4147 Ph: (972) 741-7232 |
| NPI Number | 1033959648 |
|---|---|
| Provider Enumeration Date | 05/30/2024 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 5991233546 |
|---|---|
| Medicare Enrollment ID | O20250109001755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033959648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sally A Pratt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710508288 PECOS PAC ID: 6800324450 Enrollment ID: I20250116003784 |
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