EMERALD PALACE PRACTICE PLLC NPI 1912145400

NPI Information

EMERALD PALACE PRACTICE PLLC is a professional counselor in Plano, TX. EMERALD PALACE PRACTICE PLLC NPI is 1912145400. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6200 CHASE OAKS BLVD
SUITE 103
PLANO, TX
ZIP 75023-652
Phone: (214) 866-9529
Fax: (469) 241-0556

The provider's authorized official is Brian R Grandjean .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (214) 866-9529.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 1/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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