| Aeic Case Management Llc | |
|
8813 N Tarrant Pkwy Ste 238 North Richland Hills TX 76182-8461 | |
| (877) 396-3330 | |
| Not Available |
| Full Name | Aeic Case Management Llc |
|---|---|
| Speciality | Case Management |
| Location | 8813 N Tarrant Pkwy Ste 238, North Richland Hills, Texas |
| Authorized Official Name and Position | Laketria Venzant (OWNER/LEAD CLINICIAN) |
| Authorized Official Contact | 8773963330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aeic Case Management Llc 8813 N Tarrant Pkwy Ste 238 North Richland Hills TX 76182-8461 Ph: (877) 396-3330 | Aeic Case Management Llc 8813 N Tarrant Pkwy Ste 238 North Richland Hills TX 76182-8461 Ph: (877) 396-3330 |
| NPI Number | 1255091468 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 2264815356 |
|---|---|
| Medicare Enrollment ID | O20220823002260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255091468 | NPI | - | NPPES |
| Provider Name | Laketria Venzant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912664863 PECOS PAC ID: 3173906260 Enrollment ID: I20220823002322 |
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