| Autumn Health And Wellness Pllc | |
|
8209 Roughrider Dr Ste 100e Windcrest TX 78239-2473 | |
| (210) 843-0115 | |
| Not Available |
| Full Name | Autumn Health And Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8209 Roughrider Dr Ste 100e, Windcrest, Texas |
| Authorized Official Name and Position | Cloatee Surles (OWNER) |
| Authorized Official Contact | 2108430115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Health And Wellness Pllc 8209 Roughrider Dr Ste 100e Windcrest TX 78239-2473 Ph: () - | Autumn Health And Wellness Pllc 8209 Roughrider Dr Ste 100e Windcrest TX 78239-2473 Ph: (210) 843-0115 |
| NPI Number | 1952158792 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 05/03/2024 |
| Certification Date | 05/03/2024 |
| Medicare PECOS PAC ID | 7315389459 |
|---|---|
| Medicare Enrollment ID | O20240521003464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952158792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Cloatee Yvonne Surles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871161018 PECOS PAC ID: 8224470364 Enrollment ID: I20240521003806 |
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