Capstone Connect, Pllc | |
1110 Kingwood Dr Ste 120 Kingwood TX 77339-2994 | |
(832) 401-9701 | |
(832) 565-1010 |
Full Name | Capstone Connect, Pllc |
---|---|
Speciality | Social Worker |
Location | 1110 Kingwood Dr Ste 120, Kingwood, Texas |
Authorized Official Name and Position | Erik Christopher Boie (SOCIAL WORKER) |
Authorized Official Contact | 8324019701 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Capstone Connect, Pllc 1110 Kingwood Dr Ste 120 Kingwood TX 77339-2994 Ph: (832) 401-9701 | Capstone Connect, Pllc 1110 Kingwood Dr Ste 120 Kingwood TX 77339-2994 Ph: (832) 401-9701 |
NPI Number | 1104247261 |
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Provider Enumeration Date | 12/16/2013 |
Last Update Date | 03/03/2024 |
Certification Date | 03/03/2024 |
Medicare PECOS PAC ID | 2567746837 |
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Medicare Enrollment ID | O20170306000430 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104247261 | NPI | - | NPPES |
1437589512 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 52328 (Texas) | Primary |
Provider Name | Erik Christopher Boie |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437589512 PECOS PAC ID: 3476837741 Enrollment ID: I20170306000545 |
Provider Name | Patti Hebert Cryer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285965996 PECOS PAC ID: 9638545304 Enrollment ID: I20221020001877 |
Provider Name | Susan Annette Rhodes |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1407426943 PECOS PAC ID: 5496107484 Enrollment ID: I20240116000131 |
Provider Name | Margo Farris |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1659141869 PECOS PAC ID: 9436598166 Enrollment ID: I20240415002230 |
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