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Organization
TELEHEALTH SERVICES SOUTH PA
Active
Organization
TELEHEALTH SERVICES SOUTH PA
Active
Other names
School Based Urgent Care Network PA, Hazel Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRIJIT REIS MD (OWNER)
(415) 424-4266
Entity
Organization
Contact information
Practice address
8300 ESTERS BLVD STE 900, IRVING, TX 75063-2233
(415) 424-4266
Mailing address
8300 ESTERS BLVD STE 900, IRVING, TX 75063-2233
(415) 424-4266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/01/2022
Last updated
06/02/2025
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