Connections Counseling & Psychological Services | |
1609 W Frank Ave Lufkin TX 75904-3103 | |
(936) 329-5100 | |
Not Available |
Full Name | Connections Counseling & Psychological Services |
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Speciality | Psychologist |
Location | 1609 W Frank Ave, Lufkin, Texas |
Authorized Official Name and Position | Laura Beth Cooper (OWNER/PSYCHOLOGIST) |
Authorized Official Contact | 9363295100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Connections Counseling & Psychological Services Po Box 2656 Lufkin TX 75902-2656 Ph: (936) 329-5100 | Connections Counseling & Psychological Services 1609 W Frank Ave Lufkin TX 75904-3103 Ph: (936) 329-5100 |
NPI Number | 1245796564 |
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Provider Enumeration Date | 02/11/2019 |
Last Update Date | 04/07/2019 |
Medicare PECOS PAC ID | 7214260330 |
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Medicare Enrollment ID | O20190605000262 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245796564 | NPI | - | NPPES |
2808768-02 | Medicaid | TX | |
1629363650 | Other | TX | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Laura Beth Cooper |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1629363650 PECOS PAC ID: 4789945635 Enrollment ID: I20180524001439 |
Provider Name | Elaine Marie Turner |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1851990485 PECOS PAC ID: 2062826407 Enrollment ID: I20210127000404 |
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