| Charm Behavioral Health Services Inc | |
|
300 E Davis St Ste 134 Mckinney TX 75069-4588 | |
| (972) 632-7015 | |
| (844) 402-0972 |
| Full Name | Charm Behavioral Health Services Inc |
|---|---|
| Speciality | Social Worker |
| Location | 300 E Davis St Ste 134, Mckinney, Texas |
| Authorized Official Name and Position | Credentialing Team (CREDENTIALING TEAM) |
| Authorized Official Contact | 9726327015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charm Behavioral Health Services Inc 300 E Davis St Ste 134 Mckinney TX 75069-4588 Ph: (972) 632-7015 | Charm Behavioral Health Services Inc 300 E Davis St Ste 134 Mckinney TX 75069-4588 Ph: (972) 632-7015 |
| NPI Number | 1942949714 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/24/2022 |
| Medicare PECOS PAC ID | 0446631188 |
|---|---|
| Medicare Enrollment ID | O20220713000907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942949714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Catherine P Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003028713 PECOS PAC ID: 7618999525 Enrollment ID: I20051220000515 |
| Provider Name | Michele Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417125949 PECOS PAC ID: 9032371349 Enrollment ID: I20120503000125 |
| Provider Name | Natalee Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427580190 PECOS PAC ID: 4385920867 Enrollment ID: I20170418000761 |
| Provider Name | Avi D Riber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831421551 PECOS PAC ID: 8729415104 Enrollment ID: I20200225000142 |
| Provider Name | Misty Denile East |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194213447 PECOS PAC ID: 8022362102 Enrollment ID: I20200928002343 |
| Provider Name | Sonya Bolden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073850657 PECOS PAC ID: 6406246347 Enrollment ID: I20211208000249 |
| Provider Name | Brandi Rhoden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437762770 PECOS PAC ID: 2769866490 Enrollment ID: I20220830002670 |
| Provider Name | Chelette Mcclendon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538891999 PECOS PAC ID: 1153705603 Enrollment ID: I20220831003631 |
| Provider Name | Tina Rovaris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417669292 PECOS PAC ID: 7911378021 Enrollment ID: I20230130000017 |
| Provider Name | Ida Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336853076 PECOS PAC ID: 3375918279 Enrollment ID: I20230406001215 |
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