Organization
CHARIS PSYCHOLOGICAL SERVICES & CHRISTIAN COUNSELING, PLLC
Active
Other names
Charis Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA GAYE LEWIS PHD (OWNER)
(682) 302-4597
Entity
Organization
Contact information
Practice address
1100 FM 56, GLEN ROSE, TX 76043
(682) 302-4597
Mailing address
1030 HWY 377 E, SUITE 110169, GRANBURY, TX 76048
(682) 302-4597
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374452601
—
TX
Enumeration date
05/22/2018
Last updated
05/07/2019
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