Tidemark Therapy Pllc

NPI 1275939001 - Counselor - 101YP2500X

NPI Details
NPI 1275939001
Enumeration Date 11/05/2014
Last Updated 11/05/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BRITTAINY A BRITTAINY
Position OWNER PROVIDER
Phone (903) 267-4023
Fax
Practice Location
600 E TAYLOR ST
SUITE 4004
SHERMAN TX, 75090-2881, US
Phone (903) 267-4023
Fax
Business Location
1917 E CHERRY ST
SHERMAN TX, 75090-6605, US
Phone (903) 267-4023
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Texas
License Number 69738
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According to our database, Tidemark Therapy Pllc NPI is 1275939001, taxonomy code is 101YP2500X and license number is 69738, license state is located at Texas. Tidemark Therapy Pllc physically located at 600 E Taylor St, Sherman TX, 75090-2881. NPI Number 1033115704 has the healthcare provider type.

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1275939001 NPI number is provided on an as is basis without warranty of any kind. 1275939001 is maintained by the National Plan & Provider Enumeration System. The contents of Tidemark Therapy Pllc are for informational purposes only.