| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 500 Mason St, Tomball, Texas |
| Authorized Official Name and Position | Linda Sterling (OWNER) |
| Authorized Official Contact | 9702787870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
500 Mason St Tomball TX 77375-4450 Ph: (281) 255-9922 | 500 Mason St Tomball TX 77375-4450 Ph: (281) 255-9922 |
| NPI Number | 1508286956 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 04/10/2017 |
| Medicare PECOS PAC ID | 6507208675 |
|---|---|
| Medicare Enrollment ID | O20240522000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508286956 | NPI | - | NPPES |
| 1912283128 | Other | TX | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Linda Sterling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912283128 PECOS PAC ID: 7315389483 Enrollment ID: I20240522000268 |
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