Aegis Counseling Pllc | |
2141 Office Park Dr Ste 7 San Angelo TX 76904-6836 | |
(325) 223-2347 | |
(325) 223-2347 |
Full Name | Aegis Counseling Pllc |
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Speciality | Counselor |
Location | 2141 Office Park Dr Ste 7, San Angelo, Texas |
Authorized Official Name and Position | Tara Haidinger (OWNER/MANAGER) |
Authorized Official Contact | 3252342682 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aegis Counseling Pllc 2141 Office Park Dr Ste 7 San Angelo TX 76904-6836 Ph: (325) 223-2347 | Aegis Counseling Pllc 2141 Office Park Dr Ste 7 San Angelo TX 76904-6836 Ph: (325) 223-2347 |
NPI Number | 1760994388 |
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Provider Enumeration Date | 11/05/2017 |
Last Update Date | 11/05/2017 |
Medicare PECOS PAC ID | 9537566633 |
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Medicare Enrollment ID | O20210915003450 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760994388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Barbara Carol Coleman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669983599 PECOS PAC ID: 1355748450 Enrollment ID: I20210930001809 |
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