Organization
CLEANSLATE MEDICAL GROUP OF TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA AMICK (DIRECTOR)
(727) 798-8160
Entity
Organization
Contact information
Practice address
2912 KRAFT ST STE 30, ARLINGTON, TX 76010-5410
(413) 584-2173
Mailing address
8 CADILLAC DR STE 180, BRENTWOOD, TN 37027-5393
(154) 250-0220
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/09/2017
Last updated
03/23/2023
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