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The Source Counseling, Pllc
Adolescent and Children Mental Health Clinic/Center in Dallas, Texas
NPI 1578285441

The Source Counseling, Pllc is an Adolescent and Children Mental Health Clinic/Center based in Dallas, TX and is specialized in Adolescent and Children Mental Health. The Source Counseling, Pllc practices in Dallas, TX. The NPI Number for The Source Counseling, Pllc is 1578285441 and holds a License No. (Texas).

The current practice location address for The Source Counseling, Pllc is 1409 Botham Jean Blvd Apt 416, Dallas, TX and can be reached out via phone at 214-810-0872.

Location: 1409 Botham Jean Blvd Apt 416, Dallas, TX, 75215-6805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578285441
Provider Name
The Source Counseling, Pllc
Credential
Provider Entity Type
Organization
Address
1409 Botham Jean Blvd Apt 416, Dallas, TX, 75215-6805
Phone Number
214-810-0872
Fax Number
Provider Enumeration Date
09/16/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1409 Botham Jean Blvd Apt 416
City
Dallas
State
Texas
Zip
75215-6805
Phone Number
214-810-0872
Fax Number
person
Provider Business Mailing Address Details
Address
1409 Botham Jean Blvd Apt 416
City
Dallas
State
Texas
Zip
75215-6805
Phone Number
214-810-0872
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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