Organization
BEDROCK COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAM POLO LCDCI (EXECUTIVE DIRECTOR)
(214) 680-5074
Entity
Organization
Contact information
Practice address
575 N VALLEY PARKWAY, SUITE 230, LEWISVILLE, TX 75067
(972) 906-9112
(972) 906-9125
Mailing address
575 N VALLEY PARKWAY, SUITE 230, LEWISVILLE, TX 75067
(972) 906-9112
(972) 906-9125
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
TX
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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