| Amazing Counseling And Rehabilitation Services, Incorporated | |
|
1534 N Hampton Rd # 200 Desoto TX 75115-2302 | |
| (469) 941-4067 | |
| (469) 941-4091 |
| Full Name | Amazing Counseling And Rehabilitation Services, Incorporated |
|---|---|
| Speciality | Counselor |
| Location | 1534 N Hampton Rd # 200, Desoto, Texas |
| Authorized Official Name and Position | Patrick Anayo Moneke (CEO) |
| Authorized Official Contact | 8173660950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Counseling And Rehabilitation Services, Incorporated 7268 Portillo Grand Prairie TX 75054-0073 Ph: (817) 366-0950 | Amazing Counseling And Rehabilitation Services, Incorporated 1534 N Hampton Rd # 200 Desoto TX 75115-2302 Ph: (469) 941-4067 |
| NPI Number | 1407301351 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Medicare PECOS PAC ID | 3678913860 |
|---|---|
| Medicare Enrollment ID | O20240506000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407301351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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