| C4k Llc | |
|
5113 Summertree Ct Garland TX 75043-2889 | |
| (972) 303-0813 | |
| Not Available |
| Full Name | C4k Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5113 Summertree Ct, Garland, Texas |
| Authorized Official Name and Position | Patricia Arnold (MANAGING MEMBER) |
| Authorized Official Contact | 9723030813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C4k Llc 5113 Summertree Ct Garland TX 75043-2889 Ph: (972) 303-0813 | C4k Llc 5113 Summertree Ct Garland TX 75043-2889 Ph: (972) 303-0813 |
| NPI Number | 1891189569 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 03/20/2015 |
| Medicare PECOS PAC ID | 1153869326 |
|---|---|
| Medicare Enrollment ID | O20240819003830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891189569 | NPI | - | NPPES |
| 209102701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 62154 (Texas) | Primary |
| Provider Name | Patricia Ann Arnold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710210901 PECOS PAC ID: 3971041146 Enrollment ID: I20240819003957 |
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