Organization · NPI-2

600 Decatur Street Counseling

Community/Behavioral Health · Plano, TX

NPI number1689108946
StatusActive
Last updated in NPPESApr 13, 2017

Details

NPI
1689108946
Entity type
Organization (NPI-2)
Legal business name
600 Decatur Street Counseling
Organization subpart
No
Enumeration date
Apr 13, 2017
Last updated
Apr 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health66602TXYes

Practice location

8105 Rasor Blvd # 259
Plano, TX 75024-0116

Phone 972-754-8086

Mailing address

3976 Creekside Ln
Carrollton, TX 75010-6479

Phone 972-754-8086

Authorized official

Kristin Goodwin
Owner
9727548086

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