Organization
MARRIAGE FULLY ALIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY DAVID ALLAN (OWNER)
(214) 629-6133
Entity
Organization
Contact information
Practice address
1506 N GREENVILLE AVE STE 250, ALLEN, TX 75002-8692
(214) 629-6133
(972) 943-7128
Mailing address
1506 N GREENVILLE AVE STE 250, ALLEN, TX 75002-8692
(214) 629-6133
(972) 943-7128
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2200944
TX
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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