| Allegiance Mental Health & Wellness Services Llc | |
|
1061 Hesselridge Hewitt TX 76643-4401 | |
| (505) 227-4338 | |
| Not Available |
| Full Name | Allegiance Mental Health & Wellness Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1061 Hesselridge, Hewitt, Texas |
| Authorized Official Name and Position | Theophlius Watson (OWNER) |
| Authorized Official Contact | 5052274338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegiance Mental Health & Wellness Services Llc 1061 Hesselridge Hewitt TX 76643-4401 Ph: (505) 227-4338 | Allegiance Mental Health & Wellness Services Llc 1061 Hesselridge Hewitt TX 76643-4401 Ph: (505) 227-4338 |
| NPI Number | 1760107387 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 10/18/2022 |
| Certification Date | 10/18/2022 |
| Medicare PECOS PAC ID | 2466821384 |
|---|---|
| Medicare Enrollment ID | O20221215000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760107387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Theophlius Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821221177 PECOS PAC ID: 3375912298 Enrollment ID: I20221215000037 |
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