Organization
EFFECTIVE THERAPY COMMUNITY SUPPORT SERVICES LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEKA GRANT LPC (OWNER/CEO)
(214) 493-2313
Entity
Organization
Contact information
Practice address
2300 VALLEY VIEW LN STE 725, IRVING, TX 75062-5299
(214) 493-2313
Mailing address
212 BURBERRY, GRAND PRAIRIE, TX 75052-0033
(214) 493-2313
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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