| Blue Heron Counseling | |
|
113 Scenic Ridge Rd Ingram TX 78025-5549 | |
| (830) 715-5483 | |
| (830) 217-2348 |
| Full Name | Blue Heron Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 113 Scenic Ridge Rd, Ingram, Texas |
| Authorized Official Name and Position | Robyn Sybil Adkins (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5129700176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Heron Counseling 113 Scenic Ridge Rd Ingram TX 78025-5549 Ph: (830) 715-5483 | Blue Heron Counseling 113 Scenic Ridge Rd Ingram TX 78025-5549 Ph: (830) 715-5483 |
| NPI Number | 1790491868 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 05/24/2024 |
| Certification Date | 05/24/2024 |
| Medicare PECOS PAC ID | 4284092396 |
|---|---|
| Medicare Enrollment ID | O20230622001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790491868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robyn Sybil Adkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699956326 PECOS PAC ID: 5698855104 Enrollment ID: I20080109000245 |
| Provider Name | Monique Renee Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932808037 PECOS PAC ID: 9830552827 Enrollment ID: I20230823003328 |
| Provider Name | Melissa Dawne Forsness |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427771443 PECOS PAC ID: 4082052147 Enrollment ID: I20240409001633 |
Therapeia Counseling Center, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 304 Highway 39, Ingram, TX 78025 Phone: 469-716-3871 |