Organization
COUNSELING CENTER OF ELLIS COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN BOAZ LPC (CHIEF FINANCIAL OFFICER)
(972) 617-6222
Entity
Organization
Contact information
Practice address
6350 N INTERSTATE HIGHWAY 35 E, WAXAHACHIE, TX 75165-5603
(972) 617-6222
(972) 617-0655
Mailing address
6350 N INTERSTATE HIGHWAY 35 E, WAXAHACHIE, TX 75165-5603
(972) 617-6222
(972) 617-0655
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2248-D
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2248-D
CHEMICAL DEP FACILITY
TX
Enumeration date
03/12/2007
Last updated
08/22/2020
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