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Organization

EMH MID-CITIES PLLC

Active
Parent organization
EMH MID-CITIES PLLC
Other names
Ellie Mental Health of Mid-Cities
Organization subpart
Yes

Provider details

NPI number
Legal business name
EMH MID-CITIES PLLC
Authorized official
GRACIELA VALENZUELA LPC-S (CLINIC DIRECTOR)
(817) 682-1600
Entity
Organization

Contact information

Practice address
4841 MERLOT AVE, STE 420, GRAPEVINE, TX 76051-7382
(817) 809-8399
Mailing address
748 RICHMOND LN, KELLER, TX 76248-5244
(817) 682-1600

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/22/2023
Last updated
09/22/2023
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