| Betty Hardwick Center | |
|
2616 S Clack Ste 160 Abilene TX 79606-1557 | |
| (325) 690-5131 | |
| (325) 690-5263 |
| Full Name | Betty Hardwick Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2616 S Clack, Abilene, Texas |
| Authorized Official Name and Position | Jennifer K Goode (CEO CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3256905135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Betty Hardwick Center 2616 S Clack Ste 160 Abilene TX 79606-1557 Ph: (325) 690-5131 | Betty Hardwick Center 2616 S Clack Ste 160 Abilene TX 79606-1557 Ph: (325) 690-5131 |
| NPI Number | 1699741975 |
|---|---|
| Provider Enumeration Date | 02/27/2006 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/13/2024 |
| Medicare PECOS PAC ID | 9537117197 |
|---|---|
| Medicare Enrollment ID | O20050110001165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699741975 | NPI | - | NPPES |
| 133338702 | Medicaid | TX | |
| 00R652 | Other | TX | MULTI-SPECIALITY |
| 133338706 | Medicaid | TX | |
| 133338707 | Medicaid | TX |
| Provider Name | Susan K Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841274941 PECOS PAC ID: 1052362399 Enrollment ID: I20050203000885 |
| Provider Name | Judith L Creech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790978211 PECOS PAC ID: 8123116209 Enrollment ID: I20071127000267 |
| Provider Name | Patrick G Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508082652 PECOS PAC ID: 8426116120 Enrollment ID: I20081024000347 |
| Provider Name | Preeti Sodhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033268065 PECOS PAC ID: 7113089152 Enrollment ID: I20081229000377 |
| Provider Name | Johnes B Monyoncho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427301597 PECOS PAC ID: 4587815048 Enrollment ID: I20121108000620 |
| Provider Name | Justin M Scaffa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386026995 PECOS PAC ID: 2163738964 Enrollment ID: I20150824001983 |
| Provider Name | Amy N Leverton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205334984 PECOS PAC ID: 9830454537 Enrollment ID: I20180530001828 |
| Provider Name | Robert D Parkhill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316408867 PECOS PAC ID: 9032451992 Enrollment ID: I20190425002269 |
| Provider Name | Harriet K Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326688599 PECOS PAC ID: 8022445667 Enrollment ID: I20200220002807 |
| Provider Name | Ijeoma E Osuji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497390694 PECOS PAC ID: 0840610341 Enrollment ID: I20201022002053 |
| Provider Name | Adam C Biesman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568800720 PECOS PAC ID: 1254620248 Enrollment ID: I20221117001669 |
| Provider Name | Gwendolyn E Boyd-mcghee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083213367 PECOS PAC ID: 9234587841 Enrollment ID: I20231120003622 |
| Provider Name | Starla A Cason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366732299 PECOS PAC ID: 1456709633 Enrollment ID: I20231128003849 |
| Provider Name | James D Reynolds |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346726304 PECOS PAC ID: 7911355896 Enrollment ID: I20231204000929 |
| Provider Name | Mary B Mims |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689094146 PECOS PAC ID: 7315396934 Enrollment ID: I20231207003973 |
| Provider Name | Judy A Mcdowell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538544804 PECOS PAC ID: 9133578768 Enrollment ID: I20231207004001 |
| Provider Name | Tracy L Grogan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346964186 PECOS PAC ID: 6406205038 Enrollment ID: I20231207004024 |
| Provider Name | Lisa L Rowlett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154578110 PECOS PAC ID: 3577913185 Enrollment ID: I20231222000603 |
| Provider Name | Rebekah J Gailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124885132 PECOS PAC ID: 9739526757 Enrollment ID: I20240326001054 |
| Provider Name | Brian P Demmitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720850845 PECOS PAC ID: 5799124509 Enrollment ID: I20240412002122 |
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