Organization
GREATER HEIGHTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEANA BAGGETT TALBOTT PSYD (PRESIDENT)
(325) 500-8465
Entity
Organization
Contact information
Practice address
421 W CONCHO AVE, SAN ANGELO, TX 76903-6310
(325) 500-8465
Mailing address
5330 BENTWOOD DR, SAN ANGELO, TX 76904-8038
(325) 500-8465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
20134
TX
103T00000X
Psychologist
Primary
37906
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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