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Organization

SG GREENER PASTURES WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA GREENE LCSW (MANAGER)
(214) 607-3530
Entity
Organization

Contact information

Practice address
1221 PINKERTON LN, ALLEN, TX 75002-4305
(214) 607-3530
Mailing address
400 CHISHOLM PL, 103, PLANO, TX 75075-6938
(972) 424-2300

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
12/15/2015
Last updated
12/15/2015
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