| Arlette J Back Pllc | |
|
1600 S Coulter Building A Ste 100 Amarillo TX 79106-1744 | |
| (806) 680-6651 | |
| Not Available |
| Full Name | Arlette J Back Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1600 S Coulter Building A Ste 100, Amarillo, Texas |
| Authorized Official Name and Position | Arlette J Back (OWNER) |
| Authorized Official Contact | 8066806651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arlette J Back Pllc 1600 S Coulter Building A Ste 100 Amarillo TX 79106-1744 Ph: (806) 680-6651 | Arlette J Back Pllc 1600 S Coulter Building A Ste 100 Amarillo TX 79106-1744 Ph: (806) 680-6651 |
| NPI Number | 1619738390 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 3375996093 |
|---|---|
| Medicare Enrollment ID | O20240130001483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619738390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Arlette J Back |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174012835 PECOS PAC ID: 2961845581 Enrollment ID: I20240209002914 |
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