Organization
BUCHANAN SYNERGY INC.
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA GARNER (OWNER)
(309) 512-3040
Entity
Organization
Contact information
Practice address
2404 ELLIS ST, SUITE 4, VENUS, TX 76084, VENUS, TX 76084-3327
(682) 339-9149
Mailing address
1781 HIGHWAY 287 N # 1042, MANSFIELD, TX 76063-4807
(682) 339-9149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/12/2022
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