| Connecting The Pieces, Llc | |
|
955 W John Carpenter Fwy Ste 100 Irving TX 75039-2502 | |
| (860) 595-2816 | |
| Not Available |
| Full Name | Connecting The Pieces, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 955 W John Carpenter Fwy Ste 100, Irving, Texas |
| Authorized Official Name and Position | Myrnel Gegu (CEO) |
| Authorized Official Contact | 8605952816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecting The Pieces, Llc 2402 N Macarthur Blvd Apt 1308 Irving TX 75062-5471 Ph: (860) 967-1126 | Connecting The Pieces, Llc 955 W John Carpenter Fwy Ste 100 Irving TX 75039-2502 Ph: (860) 595-2816 |
| NPI Number | 1194469577 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 04/22/2022 |
| Certification Date | 04/22/2022 |
| Medicare PECOS PAC ID | 2062881410 |
|---|---|
| Medicare Enrollment ID | O20221207001999 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194469577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Myrnel Gegu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558915454 PECOS PAC ID: 3971972324 Enrollment ID: I20221207002094 |
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