Organization
THOMAS-PULLEN INSTUTION OF HOPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEKA T. GRANT LPC (OWNER/CEO)
(214) 493-2313
Entity
Organization
Contact information
Practice address
212 BURBERRY, GRAND PRAIRIE, TX 75052-0033
(214) 493-2313
(469) 520-5283
Mailing address
212 BURBERRY, GRAND PRAIRIE, TX 75052-0033
(214) 493-2313
(469) 520-5283
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124188446
—
TX
Enumeration date
04/16/2018
Last updated
04/16/2018
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