| Centex Lpc | |
|
208 E Central Ave Suite 104 Belton TX 76513-3205 | |
| (512) 709-6475 | |
| Not Available |
| Full Name | Centex Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 208 E Central Ave, Belton, Texas |
| Authorized Official Name and Position | Savannah Rae Tucker (OWNER/ PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5127096475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centex Lpc 208 E. Central Ave Suite 104 Belton TX 76513-3213 Ph: (512) 709-6475 | Centex Lpc 208 E Central Ave Suite 104 Belton TX 76513-3205 Ph: (512) 709-6475 |
| NPI Number | 1336412139 |
|---|---|
| Provider Enumeration Date | 02/10/2012 |
| Last Update Date | 02/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336412139 | NPI | - | NPPES |
| 1043504434 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 65331 (Texas) | Primary |
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