| Spirit-mind-body Connections Counseling, Pllc | |
|
311 N Ballard Ave Ste 102 Wylie TX 75098-4486 | |
| (469) 701-0572 | |
| Not Available |
| Full Name | Spirit-mind-body Connections Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 311 N Ballard Ave Ste 102, Wylie, Texas |
| Authorized Official Name and Position | Noemi Mendez-hyams (REGISTERED AGENT) |
| Authorized Official Contact | 4697010572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spirit-mind-body Connections Counseling, Pllc Po Box 709 Wylie TX 75098-0709 Ph: (469) 701-0572 | Spirit-mind-body Connections Counseling, Pllc 311 N Ballard Ave Ste 102 Wylie TX 75098-4486 Ph: (469) 701-0572 |
| NPI Number | 1568913960 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568913960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 64318 (Texas) | Primary |
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