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NPI Code Detail

MEDICARE: AGH COUNSELING CENTER

MEDICARE: AGH COUNSELING CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency66523TX

General Provider Information

NPI Number : 1295075711
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGH COUNSELING CENTER
Provider Business Mailing Address
First Line : 9709 PEACH TREE LN
Second Line :
City : ROWLETT
State : TX
Zip : 75089-8418
Country : US
Telephone Number : 214-607-1737
Fax Number : 214-607-1737
Provider Business Practice Location Address
First Line : 14110 DALLAS PKWY STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75254-4326
Country : US
Telephone Number : 214-607-1737
Fax Number :
Authorized Official
Title or Position : OWNER/LICENSED PROFESSIONAL COUNSEL
Name : MRS. ANITA GAYE HENRICHSON
Credential : LPC
Telephone Number : 214-607-1737
Provider Enumeration Date : 02/20/2013
Last Update Date : 02/20/2013

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Directions to “AGH COUNSELING CENTER ” Practice Location

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