Miracle Works Pllc

LBN: Miracle Works Pllc
Miracle Works Pllc is an health care organization with primary practice located at 805 Washington Dr Ste D , Arlington TX 76011-2528. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Miracle Works Pllc can be contacted via phone (817) 264-6048, or through Wagner, Miracle via phone (817) 264-6048.

Contact Information

Primary practice address
805 Washington Dr Ste D Arlington TX 76011-2528
Phone: (817) 264-6048
Fax: (817) 549-9755
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Miracle Licensed Professional Counselor (LPC)
Phone: (817) 264-6048

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 72494 Texas

Profile Details

NPI number 1942759535
LBN Legal business name Miracle Works Pllc
DBA Doing business as
Authorized official Wagner, Miracle Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2016
Last updated Jun 11th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942759535 NPPES
Texas MEDICAID 36085501
Texas MEDICAID 365158001

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