Organization
DALLAS ART THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANDREA MARIE DAVIS LPC-S, ATR-BC (CEO)
(214) 673-3571
Entity
Organization
Contact information
Practice address
2007 N COLLINS BLVD STE 411, RICHARDSON, TX 75080-2665
(972) 544-6633
(214) 237-1269
Mailing address
2007 N COLLINS BLVD STE 411, RICHARDSON, TX 75080-2665
(972) 544-6633
(214) 237-1269
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/17/2020
Last updated
05/15/2024
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