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NPI Code Detail

MEDICARE: THE CENTER FOR COMPASSION AND WELLBEING, PLLC

MEDICARE: THE CENTER FOR COMPASSION AND WELLBEING, PLLC
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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1659984854
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CENTER FOR COMPASSION AND WELLBEING, PLLC
Provider Business Mailing Address
First Line : 3605 YUCCA DR STE 202
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-2753
Country : US
Telephone Number : 817-723-0730
Fax Number :
Provider Business Practice Location Address
First Line : 3605 YUCCA DR STE 202
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-2753
Country : US
Telephone Number : 972-656-8208
Fax Number :
Authorized Official
Title or Position : LICENSED PSYCHOLOGIST, OWNER
Name : DR. MARTHA FRANCES BERGEN
Credential : PH.D.
Telephone Number : 817-723-0730
Provider Enumeration Date : 08/26/2020
Last Update Date : 10/10/2024

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Directions to “THE CENTER FOR COMPASSION AND WELLBEING, PLLC ” Practice Location

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