CCA BEHAVIORAL HEALTH, PLLC
Mental Health at Corinth Street Rd, Dallas, TX

License number
Texas 17388
Category
Mental Health
Type
Mental Health
Owner
Name: DR. DONALD STANLEY CHANDLER JR. PH.D.
Title: MEMBER/CLINICAL DIRECTOR
Phone: (214) 946-3676
Address
Address
424 S Corinth Street Rd, Dallas, TX 75203
National Provider ID: 1356580195
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CCA BEHAVIORAL HEALTH, PLLC

424 S Corinth St Rd, Dallas, TX 75203

Status:
Inactive
Doing business as:
Chandler Jr Ph.D., Donald<br>Cca Behavioral Health<br>Cca Behavioral Health, Pllc
Registration:
Mar 5, 2009
State ID:
0801094441
Business type:
Domestic Limited Liability Company (LLC)
Medical Director, Member/clinical Director, Principal, Psychologist, Directors:
Donald S Chandler Jr (DIRECTOR), 424 S Corinth St, Dallas, TX 75203,Donald S. Chandler Medical Director, Member/clinical Director, Principal, Psychologist, Director, inactive
Agent:
Donald Stanely Chandler Jr,424 S Corinth St Rd, Dallas, TX 75203 (Physical)
TIN:
32039029130

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