| -counseling Services, Pllc | |
|
1103 Wilson Street Henderson TX 75652 | |
| (903) 655-0123 | |
| (903) 655-0123 |
| Full Name | -counseling Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1103 Wilson Street, Henderson, Texas |
| Authorized Official Name and Position | Donna G Mason-mcfall (OWNER) |
| Authorized Official Contact | 9036550123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| -counseling Services, Pllc 1103 Wilson St Henderson TX 75652-6077 Ph: (903) 655-0123 | -counseling Services, Pllc 1103 Wilson Street Henderson TX 75652 Ph: (903) 655-0123 |
| NPI Number | 1467863407 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 5799158978 |
|---|---|
| Medicare Enrollment ID | O20240312003651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467863407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| Provider Name | Donna G Mason-mcfall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043379761 PECOS PAC ID: 6608249883 Enrollment ID: I20240312003786 |
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