Elizabeth S. Maddaford,lcsw,pllc
Community/Behavioral Health in Mansfield, TX. Organization (NPI-2).
NPI number1730464090
StatusActive
Last updated in NPPESOct 19, 2011
Details
- NPI
- 1730464090
- Entity type
- Organization (NPI-2)
- Legal business name
- Elizabeth S. Maddaford,lcsw,pllc
- Organization subpart
- No
- Enumeration date
- Oct 19, 2011
- Last updated
- Oct 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 29770 | TX | Yes |
Other names
- Green Light Counseling Center (Doing Business As)
Practice location
602 Strada Cir Ste 110Mansfield, TX 76063-3201
Phone 817-842-9081
Mailing address
201 Silver Rose BlvdBurleson, TX 76028-2886
Phone 181-769-0842
Authorized official
Elizabeth Maddaford
Owner
8178429081
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