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Contact Information

CHARIS PSYCHOLOGICAL SERVICES & CHRISTIAN COUNSELING, PLLC
1100 FM 56
GLEN ROSE, TX76043
 Phone: 682-302-4597
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHARIS PSYCHOLOGICAL SERVICES & CHRISTIAN COUNSELING, PLLC

NPI Number 1235620691
LBN Legal business name CHARIS PSYCHOLOGICAL SERVICES & CHRISTIAN COUNSELING, PLLC
Authorized official MELINDA LEWIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2018
Last updated 05/07/2019 - About 7 years ago
Identifiers
TX Medicaid 374452601
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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