| Well With In My Space Llc | |
|
1814 Beaumont St Grand Prairie TX 75051-1317 | |
| (214) 810-5368 | |
| Not Available |
| Full Name | Well With In My Space Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1814 Beaumont St, Grand Prairie, Texas |
| Authorized Official Name and Position | Taren Allen (OWNER) |
| Authorized Official Contact | 2148105368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Well With In My Space Llc 1814 Beaumont St Grand Prairie TX 75051-1317 Ph: (214) 810-5368 | Well With In My Space Llc 1814 Beaumont St Grand Prairie TX 75051-1317 Ph: (214) 810-5368 |
| NPI Number | 1649932286 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649932286 | NPI | - | NPPES |
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