| Wings Of Change Psychological Services Pllc | |
|
2311 Mustang Dr Ste 200 Grapevine TX 76051-1010 | |
| (817) 670-4782 | |
| Not Available |
| Full Name | Wings Of Change Psychological Services Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2311 Mustang Dr Ste 200, Grapevine, Texas |
| Authorized Official Name and Position | Carmen Brown (OWNER) |
| Authorized Official Contact | 8176704782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wings Of Change Psychological Services Pllc Po Box 944 Hurst TX 76053-0944 Ph: () - | Wings Of Change Psychological Services Pllc 2311 Mustang Dr Ste 200 Grapevine TX 76051-1010 Ph: (817) 670-4782 |
| NPI Number | 1699566505 |
|---|---|
| Provider Enumeration Date | 05/13/2025 |
| Last Update Date | 05/13/2025 |
| Certification Date | 05/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699566505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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