NPI:
1275939001
Provider Name:
TIDEMARK THERAPY PLLC
Doing Business As: BRITTAINY A. WAGNER, LPC
Classification:
Counselor - 101YP2500X
Entity Type:
Organization
Specialization: Professional
Address:
305 W WOODARD ST # 201
DENISON, TX
ZIP 75020
Phone:
(903) 265-8545
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TIDEMARK THERAPY PLLC is a professional counselor in Denison, TX. TIDEMARK THERAPY PLLC NPI is 1275939001. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brittainy A. Wagner, Lpc.
The provider's business location address is:
305 W WOODARD ST # 201
DENISON, TX
ZIP 75020-136
Phone: (903) 265-8545
Fax: (903) 487-0600
The provider's authorized official is Brittainy A Wagner .
The authorized official title is Owner Provider and has the following contact phone number (903) 267-4023.
The enumeration date for this NPI number is 11/5/2014 and was last updated on 3/5/2024.