| Spade Therapy Co., Pllc | |
|
206 N State St Decatur TX 76234-1444 | |
| (817) 694-1865 | |
| Not Available |
| Full Name | Spade Therapy Co., Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 206 N State St, Decatur, Texas |
| Authorized Official Name and Position | Tristian Davis (OWNER/LPC) |
| Authorized Official Contact | 8176941865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spade Therapy Co., Pllc 1100 Scott Rd Weatherford TX 76088-8173 Ph: () - | Spade Therapy Co., Pllc 206 N State St Decatur TX 76234-1444 Ph: (817) 694-1865 |
| NPI Number | 1639065162 |
|---|---|
| Provider Enumeration Date | 06/12/2025 |
| Last Update Date | 06/12/2025 |
| Certification Date | 06/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639065162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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