Organization
GREATER DALLAS SUPPORT ALLIANCE
Active
Parent organization
GREATER DALLAS SUPPORT ALLIANCE
Other names
Annie's Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER DALLAS SUPPORT ALLIANCE
Authorized official
JENNIFER LEE BOATRIGHT LPC (PRESIDENT)
(469) 249-2585
Entity
Organization
Contact information
Practice address
2102 DORSEY DR, FORNEY, TX 75126-0925
(469) 249-3585
(469) 249-3585
Mailing address
PO BOX 1350, FORNEY, TX 75126-1350
(972) 521-6105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410883901
—
TX
Enumeration date
04/22/2020
Last updated
09/30/2020
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