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Organization
3FTL
Active
Organization
3FTL
Active
Other names
3FTL
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HALLEY (OWNER)
(469) 400-8357
Entity
Organization
Contact information
Practice address
301 N PRESTON RD STE BPROSPER, PROSPER, TX 75078-8874
(972) 347-1320
Mailing address
1116 MACGREGOR LN, GUNTER, TX 75058-4253
(469) 400-8357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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