| Xavier Wellness Center Llc | |
|
4817 Brentwood Stair Rd Ste 105 Ft Worth TX 76103-1734 | |
| (214) 228-3072 | |
| Not Available |
| Full Name | Xavier Wellness Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4817 Brentwood Stair Rd Ste 105, Ft Worth, Texas |
| Authorized Official Name and Position | Nicole Washington (Q) |
| Authorized Official Contact | 2142283072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Xavier Wellness Center Llc 4817 Brentwood Stair Rd Ste 105 Ft Worth TX 76103-1734 Ph: () - | Xavier Wellness Center Llc 4817 Brentwood Stair Rd Ste 105 Ft Worth TX 76103-1734 Ph: (214) 228-3072 |
| NPI Number | 1689254666 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689254666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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