Organization
A SERVICE WITH RESPECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHIRAH SAMUELS LCSW (OWNER/PROGRAM DIRECTOR)
(817) 919-1603
Entity
Organization
Contact information
Practice address
2080 N HWY 360 STE 220, GRAND PRAIRIE, TX 75050-1451
(817) 919-1603
(682) 252-7137
Mailing address
2412 JEFFERSON COURT LN APT 1630, ARLINGTON, TX 76006-4247
(817) 919-1603
(682) 252-7137
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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