| Beaumont Texas Llc | |
|
350 Pine St Ste 301 Beaumont TX 77701-2437 | |
| (409) 225-5325 | |
| Not Available |
| Full Name | Beaumont Texas Llc |
|---|---|
| Speciality | Case Management |
| Location | 350 Pine St Ste 301, Beaumont, Texas |
| Authorized Official Name and Position | Thomas Travagilo (OWNER) |
| Authorized Official Contact | 4092255325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaumont Texas Llc 350 Pine St Ste 301 Beaumont TX 77701-2437 Ph: (409) 225-5325 | Beaumont Texas Llc 350 Pine St Ste 301 Beaumont TX 77701-2437 Ph: (409) 225-5325 |
| NPI Number | 1629889175 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629889175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
Winnie Community Hospital Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St Ste 502, Beaumont, TX 77706 Phone: 409-899-4472 Fax: 409-899-9795 | |
Beaumont Psychological Services Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St, Suite107, Beaumont, TX 77706 Phone: 409-899-3244 Fax: 409-898-3153 | |
Family Services Of Southeast Texas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Interstate 10 N, Suite 140, Beaumont, TX 77702 Phone: 409-833-2668 Fax: 409-899-9362 | |
Synergy Cubed Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Louisiana St, Beaumont, TX 77702 Phone: 409-673-3234 | |
Dees Grief Coaching Services Cgc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4835 Concord Rd, Beaumont, TX 77703 Phone: 409-229-8687 | |
Cardinal Community Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4400 Mlk Boulevard, Beaumont, TX 77710 Phone: 409-880-7681 Fax: 409-880-2263 |