| Brazos Valley Mental Health And Wellness, Llc | |
|
1600 S Day St Brenham TX 77833-4828 | |
| (979) 777-1683 | |
| Not Available |
| Full Name | Brazos Valley Mental Health And Wellness, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1600 S Day St, Brenham, Texas |
| Authorized Official Name and Position | Sherry Haferkamp (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9797771683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brazos Valley Mental Health And Wellness, Llc 600 Walnut Hill Dr Brenham TX 77833-4986 Ph: (979) 777-1683 | Brazos Valley Mental Health And Wellness, Llc 1600 S Day St Brenham TX 77833-4828 Ph: (979) 777-1683 |
| NPI Number | 1063874683 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 8123305661 |
|---|---|
| Medicare Enrollment ID | O20170510000818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063874683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 37193 (Texas) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| Provider Name | Sherry Haferkamp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992167514 PECOS PAC ID: 3173801354 Enrollment ID: I20161021001094 |
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