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Organization
THEOCENTRIC GUILD & OUTRACH
Active
Organization
THEOCENTRIC GUILD & OUTRACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GILL (EXECUTIVE DIRECTOR)
(817) 360-5364
Entity
Organization
Contact information
Practice address
1304 W WALNUT HILL LN STE 120, IRVING, TX 75038-3002
(817) 360-5364
Mailing address
1304 W WALNUT HILL LN STE 120, IRVING, TX 75038-3002
(817) 360-5364
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
08/09/2023
Last updated
07/29/2026
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