Organization
REFRESH WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE L MOORE LCSW (CEO/THERAPIST)
(972) 638-9179
Entity
Organization
Contact information
Practice address
4000 PARKSIDE CENTER BLVD APT 625, FARMERS BRANCH, TX 75244-4361
(972) 638-9179
Mailing address
4000 PARKSIDE CENTER BLVD APT 625, FARMERS BRANCH, TX 75244-4361
(972) 638-9179
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/08/2019
Last updated
03/18/2020
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