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Carmen Pemberton Pllc
Adult Mental Health Clinic/Center in Grapevine, Texas
NPI 1568883858

Carmen Pemberton Pllc is an Adult Mental Health Clinic/Center based in Grapevine, TX and is specialized in Adult Mental Health. Carmen Pemberton Pllc practices in Grapevine, TX. The NPI Number for Carmen Pemberton Pllc is 1568883858 and holds a License No. 590614 (Texas).

The current practice location address for Carmen Pemberton Pllc is 1135 S Main St, Grapevine, TX and can be reached out via phone at 817-416-7500 and via fax at 817-416-7565.

Location: 1135 S Main St, Grapevine, TX, 76051-7533
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568883858
Provider Name
Carmen Pemberton Pllc
Credential
Provider Entity Type
Organization
Address
1135 S Main St, Grapevine, TX, 76051-7533
Phone Number
817-416-7500
Fax Number
817-416-7565
Provider Enumeration Date
01/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1135 S Main St
City
Grapevine
State
Texas
Zip
76051-7533
Phone Number
817-416-7500
Fax Number
817-416-7565
person
Provider Business Mailing Address Details
Address
1135 S Main St
City
Grapevine
State
Texas
Zip
76051-7533
Phone Number
817-416-7500
Fax Number
817-416-7565
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
590614 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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