| Angels On The Horizon Therapeutic Center, Llc | |
|
3606 Dewitt County Ct Killeen TX 76549-5575 | |
| (210) 386-8910 | |
| Not Available |
| Full Name | Angels On The Horizon Therapeutic Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3606 Dewitt County Ct, Killeen, Texas |
| Authorized Official Name and Position | Maryann Bell (MEMBER/OWNER) |
| Authorized Official Contact | 2103868910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angels On The Horizon Therapeutic Center, Llc 1216 Duncan Rd Copperas Cove TX 76522 Ph: (210) 386-8910 | Angels On The Horizon Therapeutic Center, Llc 3606 Dewitt County Ct Killeen TX 76549-5575 Ph: (210) 386-8910 |
| NPI Number | 1780067090 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 07/06/2015 |
| Medicare PECOS PAC ID | 9335403088 |
|---|---|
| Medicare Enrollment ID | O20180503001615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780067090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 12415 (Texas) | Primary |
| Provider Name | Jeremy L Swain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417160417 PECOS PAC ID: 6305024423 Enrollment ID: I20110620000643 |
| Provider Name | Carol Derosa Kemp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437439338 PECOS PAC ID: 3577707256 Enrollment ID: I20130919000101 |
| Provider Name | Rebecca Mione |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386606598 PECOS PAC ID: 6305110412 Enrollment ID: I20170927003128 |
| Provider Name | J S Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720249311 PECOS PAC ID: 6406923580 Enrollment ID: I20200413001631 |
| Provider Name | Laurie A Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588942635 PECOS PAC ID: 0547400608 Enrollment ID: I20201231001228 |
| Provider Name | Aaronda Kay Mayo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659591543 PECOS PAC ID: 3577541705 Enrollment ID: I20210603000670 |
| Provider Name | Cynthia R Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134799901 PECOS PAC ID: 6507268331 Enrollment ID: I20210715002074 |
| Provider Name | Sheena L Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093345704 PECOS PAC ID: 5294194403 Enrollment ID: I20230706002612 |
| Provider Name | Amanda Jo Replogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285419879 PECOS PAC ID: 3870940984 Enrollment ID: I20231111000028 |
| Provider Name | Anisha Sigdel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083499537 PECOS PAC ID: 0446608723 Enrollment ID: I20231127002815 |
| Provider Name | Maryann Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508949926 PECOS PAC ID: 0840555645 Enrollment ID: I20240124004670 |
| Provider Name | Arthur Joseph Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306366539 PECOS PAC ID: 1557783156 Enrollment ID: I20240124004818 |
| Provider Name | Mandy J Reyna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053044826 PECOS PAC ID: 8527411297 Enrollment ID: I20240129004506 |
| Provider Name | Trendolyn Desha Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144883414 PECOS PAC ID: 3577908748 Enrollment ID: I20240227003201 |
| Provider Name | Anna Rudasill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073852166 PECOS PAC ID: 3577902113 Enrollment ID: I20240416002560 |
| Provider Name | April L Cobb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134835986 PECOS PAC ID: 2668904251 Enrollment ID: I20241021003700 |
| Provider Name | Natalie F Caudle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679308530 PECOS PAC ID: 0547792079 Enrollment ID: I20241022001642 |
| Provider Name | Kenneth C Abara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902643919 PECOS PAC ID: 7315472883 Enrollment ID: I20241120002076 |
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