| Therapride, Pllc | |
|
7204 Red Cedar Ct Denton TX 76208-7601 | |
| (214) 326-0737 | |
| (214) 326-0737 |
| Full Name | Therapride, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 7204 Red Cedar Ct, Denton, Texas |
| Authorized Official Name and Position | Robert Christopher Broyles (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9403340812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapride, Pllc Po Box 256 Lake Dallas TX 75065-0256 Ph: (214) 326-0737 | Therapride, Pllc 7204 Red Cedar Ct Denton TX 76208-7601 Ph: (214) 326-0737 |
| NPI Number | 1437532744 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 5991140378 |
|---|---|
| Medicare Enrollment ID | O20240226000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437532744 | NPI | - | NPPES |
| Provider Name | Melodie Mariah Cabitac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598154353 PECOS PAC ID: 5799159141 Enrollment ID: I20230327000052 |
| Provider Name | Alexandra Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982489167 PECOS PAC ID: 4486094752 Enrollment ID: I20240503000357 |
| Provider Name | Kathryn Danae Crume |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093461659 PECOS PAC ID: 2062852221 Enrollment ID: I20240504000412 |
| Provider Name | Lilian Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467213538 PECOS PAC ID: 4981045192 Enrollment ID: I20240517002528 |
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