| Beneath The Surface Therapy Solutions Llc | |
|
7218 Misty Ridge Dr Converse TX 78109-2709 | |
| (210) 992-9367 | |
| Not Available |
| Full Name | Beneath The Surface Therapy Solutions Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7218 Misty Ridge Dr, Converse, Texas |
| Authorized Official Name and Position | Erica Felisa Thompson (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2109929367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beneath The Surface Therapy Solutions Llc 5900 Balcones Dr Ste 100 Austin TX 78731-4298 Ph: (210) 992-9367 | Beneath The Surface Therapy Solutions Llc 7218 Misty Ridge Dr Converse TX 78109-2709 Ph: (210) 992-9367 |
| NPI Number | 1053025882 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 01/06/2023 |
| Certification Date | 01/06/2023 |
| Medicare PECOS PAC ID | 6002280922 |
|---|---|
| Medicare Enrollment ID | O20230316000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053025882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Erica Felisa Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194181743 PECOS PAC ID: 2365841541 Enrollment ID: I20210519002764 |
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