| Accedence | |
|
214 S Main St Ste 214 Duncanville TX 75116-4768 | |
| (214) 631-9208 | |
| Not Available |
| Full Name | Accedence |
|---|---|
| Speciality | Counselor |
| Location | 214 S Main St Ste 214, Duncanville, Texas |
| Authorized Official Name and Position | Marchele Lee (OWNER) |
| Authorized Official Contact | 2146319208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Accedence 4400 Belt Line Rd # 1119 Addison TX 75001-4513 Ph: (214) 631-9208 | Accedence 214 S Main St Ste 214 Duncanville TX 75116-4768 Ph: (214) 631-9208 |
| NPI Number | 1467992644 |
|---|---|
| Provider Enumeration Date | 03/07/2017 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Medicare PECOS PAC ID | 2860839842 |
|---|---|
| Medicare Enrollment ID | O20240326002893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467992644 | NPI | - | NPPES |
| 3688889 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 73951 (Texas) | Primary |
| Provider Name | Marchele Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831546373 PECOS PAC ID: 3779920756 Enrollment ID: I20240326002952 |
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