| Paideia Counseling Llc | |
|
3815 Pine Manor Dr Tyler TX 75701-6736 | |
| (907) 885-5955 | |
| Not Available |
| Full Name | Paideia Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3815 Pine Manor Dr, Tyler, Texas |
| Authorized Official Name and Position | Deborah Grace Bannan (OWNER) |
| Authorized Official Contact | 9078855955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paideia Counseling Llc 3815 Pine Manor Dr Tyler TX 75701-6736 Ph: (907) 885-5955 | Paideia Counseling Llc 3815 Pine Manor Dr Tyler TX 75701-6736 Ph: (907) 885-5955 |
| NPI Number | 1043959943 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 05/31/2022 |
| Certification Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043959943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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› Verified 2 days ago
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