Organization
PF DOVER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT ALLEN SMITH MA, LPC, CH, LCPC (OWNER)
(309) 363-2544
Entity
Organization
Contact information
Practice address
200 PECAN CREEK DR., SUITE 200, SOUTHLAKE, TX 76092-6371
(309) 363-2544
Mailing address
200 PECAN CRK, 200, SOUTHLAKE, TX 76092-6371
(309) 363-2544
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
69365
TX
Other
Enumeration date
03/26/2014
Last updated
03/29/2014
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