DALLAS NEW LEAF CLINIC
Mental Health at Preston Rd, Dallas, TX

License number
Texas 20192
Category
Mental Health
Type
Mental Health
Owner
Name: DR. JENNIFER LYNN DOUGHERTY PHD
Title: ASSESSMENT COUNSELOR
Phone: (469) 251-0803
Address
Address
17103 Preston Rd SUITE 288, Dallas, TX 75248
National Provider ID: 1043600596
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DALLAS NEW LEAF CLINIC, LLC

Dallas, TX

Industry:
Health/Allied Services
Doing business as:
Dallas New Leaf Clinic, LLC
Registration:
Mar 4, 2010
Addresses:
4808 Stony Frd Dr, Dallas, TX 75287 (Mailing)
4027 Kirkmeadow Ln, Dallas, TX 75287
State ID:
0801239456
Business type:
Domestic Limited Liability Company (LLC)
DIRECTOR, Manager, Director:
Jennifer L Dougherty (DIRECTOR, Manager, Director), 4808 Stony Frd Rd, Dallas, TX 75287
TIN:
32041362776

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