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Organization

SCRUGGS & ASSOCIATES FAMILY COUNSELING CENTER, P.C., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PROVILLA HENDERSON SCRUGGS M.ED. (PRESIDENT)
(281) 564-4348
Entity
Organization

Contact information

Practice address
13010 FLAXSEED WAY, STAFFORD, TX 77477-3408
(281) 564-4348
Mailing address
13010 FLAXSEED WAY, STAFFORD, TX 77477-3408
(281) 564-4348

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1929
TX
251S00000X
Community/Behavioral Health Agency
Primary
1929
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
070928901
TX
Enumeration date
09/09/2008
Last updated
09/09/2008
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