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Organization
AILEEN WAINWRIGHT, LCSW INC.
Active
Organization
AILEEN WAINWRIGHT, LCSW INC.
Active
Other names
Keller Heights Counseling & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
AILEEN DEVEREAUX LCSW (OWNER)
(817) 522-6622
Entity
Organization
Contact information
Practice address
605 SHADY LN N, KELLER, TX 76248-2645
(817) 522-6622
(817) 379-1933
Mailing address
605 SHADY LN N, KELLER, TX 76248-2645
(817) 522-6622
(817) 379-1933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
41287
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2879785-02
—
TX
05
—
2879785-03
—
TX
05
—
2879785-04
—
TX
05
—
400299001
—
TX
Enumeration date
05/19/2017
Last updated
02/02/2021
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