Organization
INFINITE POTENTIAL BEHAVIORAL HEALTH SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHALANDA NICHELLE GORDON PH.D. (OWNER/CLINICAL DIRECTOR)
(214) 396-9699
Entity
Organization
Contact information
Practice address
4100 SPRING VALLEY RD STE 320, DALLAS, TX 75244-3629
(214) 396-9699
(844) 895-4585
Mailing address
4100 SPRING VALLEY RD STE 320, DALLAS, TX 75244-3629
(214) 396-9699
(844) 895-4585
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
34687
TX
103T00000X
Psychologist
34687
TX
103TC0700X
Clinical Psychologist
34687
TX
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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