Organization
NIGHTINGALE COUNSELING AND CLINICAL CONSULTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALETHA RAECHELLE MATHIS LCSW (MANAGING MEMBER)
(972) 765-2606
Entity
Organization
Contact information
Practice address
4425 W AIRPORT FWY STE 149, IRVING, TX 75062-5850
(972) 765-2606
Mailing address
4425 W AIRPORT FWY STE 149, IRVING, TX 75062-5850
(972) 765-2606
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/21/2019
Last updated
07/21/2019
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