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Organization
MEMMS COUNSELING
Active
Organization
MEMMS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTINA CHAVIS WALTINA CHAVIS, LCDC (OWNER)
(817) 893-0994
Entity
Organization
Contact information
Practice address
1015 GIBBINS RD, ARLINGTON, TX 76011-5615
(817) 893-0994
(866) 794-6328
Mailing address
PO BOX 152315, ARLINGTON, TX 76015-8315
(817) 893-0994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
01/25/2021
Last updated
08/26/2025
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