Deprece Supportive Services, LLC

NPI #1043802325 in St Paul, Texas

Provider Information

NPI Number: 1043802325
Entity Type: Organization
Organization Name: Deprece Supportive Services, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 8, 2021
Last Updated: Feb 8, 2021

Practice Location

Address: 1500 GRACE LANE
City: St Paul
State: Texas
ZIP Code: 75098
Phone: (469) 670-7265

Authorized Official

Name: LEONTYNE GULLEY WILLIAMS, LMFTA
Title: OWNER
Phone: (205) 587-7040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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