Greater Dallas Support Alliance

NPI #1720608540 in Forney, Texas

Provider Information

NPI Number
1720608540
Entity Type
Organization
Organization Name
Greater Dallas Support Alliance
Subpart
Yes (part of a larger organization)
Parent Organization
GREATER DALLAS SUPPORT ALLIANCE
Primary Specialty
Social Worker - Clinical
Enumeration Date
Apr 22, 2020
Last Updated
Sep 30, 2020

Practice Location

Address
2102 DORSEY DR
City
Forney
State
Texas
ZIP Code
75126-0925
Phone
(469) 249-3585

Authorized Official

Name
JENNIFER LEE BOATRIGHT, LPC
Title
PRESIDENT
Phone
(469) 249-2585

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Social Worker - ClinicalClinical

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