Organization
POTHOS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA MEYER LCSW (CLINICAL CARE DIRECTOR/ CO-FOUNDER)
(386) 479-3204
Entity
Organization
Contact information
Practice address
5326 ENCHANTED LN, DALLAS, TX 75227-1421
(386) 479-3204
Mailing address
3839 MCKINNEY AVE STE 155, DALLAS, TX 75204-1488
(469) 319-0292
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
06/12/2023
Last updated
08/07/2023
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