| Pnuema Stance Mind Care And Consulting Llc | |
|
2504 Montague County Dr Killeen TX 76549-1609 | |
| (575) 740-6736 | |
| Not Available |
| Full Name | Pnuema Stance Mind Care And Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2504 Montague County Dr, Killeen, Texas |
| Authorized Official Name and Position | Mary Cannon (CEO) |
| Authorized Official Contact | 5757406736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pnuema Stance Mind Care And Consulting Llc 21750 Hardy Oak Blvd Ste 104 Pmb 552025 San Antonio TX 78258-4946 Ph: (575) 740-6736 | Pnuema Stance Mind Care And Consulting Llc 2504 Montague County Dr Killeen TX 76549-1609 Ph: (575) 740-6736 |
| NPI Number | 1013540228 |
|---|---|
| Provider Enumeration Date | 02/16/2020 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Medicare PECOS PAC ID | 7618419953 |
|---|---|
| Medicare Enrollment ID | O20240603000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013540228 | NPI | - | NPPES |
| Provider Name | Mary Elizabeth Cannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700343530 PECOS PAC ID: 4284974791 Enrollment ID: I20190320001444 |
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