Organization
ELLISON DAVIS COUNSELING AND WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTE F CLARK-DAVIS LPC (OWNER/ THERAPIST)
(281) 740-7245
Entity
Organization
Contact information
Practice address
1127 AUBURN VIEW LN, FRESNO, TX 77545-2049
(281) 740-7245
Mailing address
6140 HIGHWAY 6 # 1318, MISSOURI CITY, TX 77459-3802
(281) 740-7245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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