Organization
PAIDEIA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH GRACE BANNAN PHD (OWNER)
(907) 885-5955
Entity
Organization
Contact information
Practice address
3815 PINE MANOR DR, TYLER, TX 75701-6736
(907) 885-5955
Mailing address
3815 PINE MANOR DR, TYLER, TX 75701-6736
(907) 885-5955
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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