Miracle Deysia Betancourt, LCSW is a
Social Worker - Clinical based in Spring, Texas. Miracle Deysia Betancourt is licensed to practice in Texas (license number 107417) and her current practice location is
1201 Lake Woodlands Dr Ste 4009, Spring, Texas. She can be reached at her office (for appointments etc.) via phone at
(855) 284-7483.
NPI number for Miracle Deysia Betancourt is 1144943416 and her current mailing address is Po Box 748465, Atlanta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144943416.
Healthcare Provider's Profile
| Full Name | Miracle Deysia Betancourt |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1201 Lake Woodlands Dr Ste 4009, Spring, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144943416
- Provider Enumeration Date: 09/22/2022
- Last Update Date: 12/08/2022
Medical Identifiers
Medical identifiers for Miracle Deysia Betancourt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144943416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 107417 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miracle Deysia Betancourt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miracle Deysia Betancourt, LCSW
Po Box 748465,
Atlanta, GA 30374-8465
Ph: (855) 284-7483 | Miracle Deysia Betancourt, LCSW
1201 Lake Woodlands Dr Ste 4009,
Spring, TX 77380-5000
Ph: (855) 284-7483 |
Reviews and Comments