| Brackins & Associates | |
|
525 N Sam Houston Pkwy E Suite 597 Houston TX 77060-4037 | |
| (281) 272-1115 | |
| (281) 272-1117 |
| Full Name | Brackins & Associates |
|---|---|
| Speciality | Social Worker |
| Location | 525 N Sam Houston Pkwy E, Houston, Texas |
| Authorized Official Name and Position | Doris Gail Brackins (SOLE PROPRIETOR/PSYCHOTHERAPIST) |
| Authorized Official Contact | 2812721115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brackins & Associates 525 N Sam Houston Pkwy E Suite 597 Houston TX 77060-4037 Ph: (281) 272-1115 | Brackins & Associates 525 N Sam Houston Pkwy E Suite 597 Houston TX 77060-4037 Ph: (281) 272-1115 |
| NPI Number | 1518177856 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 07/28/2009 |
| Medicare PECOS PAC ID | 1254360951 |
|---|---|
| Medicare Enrollment ID | O20050811000775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518177856 | NPI | - | NPPES |
| 142403801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10580 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11795 (Texas) | Primary |
| Provider Name | Doris G Brackins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225252141 PECOS PAC ID: 0042249740 Enrollment ID: I20090803000752 |
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