Organization
600 DECATUR STREET COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN GOODWIN LPC (OWNER)
(972) 754-8086
Entity
Organization
Contact information
Practice address
8105 RASOR BLVD # 259, PLANO, TX 75024-0116
(972) 754-8086
Mailing address
3976 CREEKSIDE LN, CARROLLTON, TX 75010-6479
(972) 754-8086
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
66602
TX
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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