Archway Counseling Services | |
25511 Budde Rd Ste 1502 The Woodlands TX 77380-2081 | |
(832) 585-3901 | |
Not Available |
Full Name | Archway Counseling Services |
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Speciality | Social Worker |
Location | 25511 Budde Rd Ste 1502, The Woodlands, Texas |
Authorized Official Name and Position | Jesse Moller (OWNER) |
Authorized Official Contact | 8325853901 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Archway Counseling Services 19602 Enchanted Oaks Dr Spring TX 77388-6134 Ph: () - | Archway Counseling Services 25511 Budde Rd Ste 1502 The Woodlands TX 77380-2081 Ph: (832) 585-3901 |
NPI Number | 1376030908 |
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Provider Enumeration Date | 04/19/2018 |
Last Update Date | 04/19/2018 |
Medicare PECOS PAC ID | 5991060147 |
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Medicare Enrollment ID | O20180517002519 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376030908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 61456 (Texas) | Primary |
Provider Name | Jesse Moller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326308594 PECOS PAC ID: 1254696404 Enrollment ID: I20180517002628 |
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