| Asl Behavioral Health Clinic Pllc | |
|
103 Herrington Dr # Tx76063 Mansfield TX 76063-7615 | |
| (661) 717-2143 | |
| Not Available |
| Full Name | Asl Behavioral Health Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 Herrington Dr # Tx76063, Mansfield, Texas |
| Authorized Official Name and Position | Eucharia Onwubuya (OWNER) |
| Authorized Official Contact | 6617172143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asl Behavioral Health Clinic Pllc 103 Herrington Dr # Tx76063 Mansfield TX 76063-7615 Ph: () - | Asl Behavioral Health Clinic Pllc 103 Herrington Dr # Tx76063 Mansfield TX 76063-7615 Ph: (661) 717-2143 |
| NPI Number | 1760259832 |
|---|---|
| Provider Enumeration Date | 12/07/2023 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Medicare PECOS PAC ID | 1951744085 |
|---|---|
| Medicare Enrollment ID | O20240206002264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760259832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Eucharia Onwubuya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306494547 PECOS PAC ID: 2567881253 Enrollment ID: I20200929003691 |
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