| Cedar Crossing Counseling, Llc | |
|
203 Saddle Mountain Dr Boerne TX 78006-3821 | |
| (361) 816-2327 | |
| Not Available |
| Full Name | Cedar Crossing Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 203 Saddle Mountain Dr, Boerne, Texas |
| Authorized Official Name and Position | Kimberly J Benedict (PROVIDER, OWNER) |
| Authorized Official Contact | 3618162327 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Crossing Counseling, Llc Po Box 2304 Boerne TX 78006-6304 Ph: (361) 816-2327 | Cedar Crossing Counseling, Llc 203 Saddle Mountain Dr Boerne TX 78006-3821 Ph: (361) 816-2327 |
| NPI Number | 1982286662 |
|---|---|
| Provider Enumeration Date | 04/22/2021 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Medicare PECOS PAC ID | 2466801105 |
|---|---|
| Medicare Enrollment ID | O20231207000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982286662 | NPI | - | NPPES |
| 424898101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kimberly Benedict |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407272461 PECOS PAC ID: 1850514852 Enrollment ID: I20231211000496 |
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