|
| |
|
2310 S Willis St Abilene TX 79605-6226 | |
| (325) 704-2400 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 2310 S Willis St, Abilene, Texas |
| Authorized Official Name and Position | Joshua Hardwick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3257042314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2310 S Willis St Abilene TX 79605-6226 Ph: (325) 704-2400 | 2310 S Willis St Abilene TX 79605-6226 Ph: (325) 704-2400 |
| NPI Number | 1205699899 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 01/10/2025 |
| Certification Date | 01/10/2025 |
| Medicare PECOS PAC ID | 1052859345 |
|---|---|
| Medicare Enrollment ID | O20240819000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205699899 | NPI | - | NPPES |
| Provider Name | Cali Hellums |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790428290 PECOS PAC ID: 0446608202 Enrollment ID: I20231205000726 |
| Provider Name | Jennifer D Rasco |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497512313 PECOS PAC ID: 0345783015 Enrollment ID: I20240621003788 |
| Provider Name | Christopher Jordan Subia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215779459 PECOS PAC ID: 8628516929 Enrollment ID: I20240819000696 |
| Provider Name | Valerie Roper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952183915 PECOS PAC ID: 9436699006 Enrollment ID: I20240910001799 |
| Provider Name | Rebecca Haught |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053807867 PECOS PAC ID: 2062953243 Enrollment ID: I20240916003358 |
| Provider Name | Ashlen Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689356545 PECOS PAC ID: 2567903743 Enrollment ID: I20240916003641 |
| Provider Name | Matthew Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538756663 PECOS PAC ID: 2365983335 Enrollment ID: I20240917004572 |
| Provider Name | Caroline Park |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518705573 PECOS PAC ID: 7214478262 Enrollment ID: I20240918002329 |
| Provider Name | Robert Samsel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174881783 PECOS PAC ID: 0345776514 Enrollment ID: I20241211001765 |
West Texas Tms Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4601 Buffalo Gap Rd Ste B3, Abilene, TX 79606 Phone: 325-704-5069 | |
Peace By Piece Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4400 Buffalo Gap Rd, Abilene, TX 79606 Phone: 972-460-6864 | |
Integrated Behavior Solutions; Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1934 Hickory St, Abilene, TX 79601 Phone: 210-602-3373 | |
The Exchange Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 598 Westwood Dr Ste 101, Abilene, TX 79603 Phone: 940-256-0467 | |
Ta Van Nguyen, M.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Nottingham Rd, Abilene, TX 79602 Phone: 325-698-4221 Fax: 325-698-6951 |