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Organization
ILLUMINATE PSYCHOLOGICAL SERVICES DFW, PLLC
Active
Organization
ILLUMINATE PSYCHOLOGICAL SERVICES DFW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN HARRIS-MCDONALD (LICENSED PSYCHOLOGIST)
(940) 368-8497
Entity
Organization
Contact information
Practice address
3605 YUCCA DR STE 202, FLOWER MOUND, TX 75028-2753
(940) 368-8497
Mailing address
PO BOX 340, HURST, TX 76053-4974
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/30/2022
Last updated
01/30/2022
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