| Dallas Sigma Counseling Services, Inc. | |
|
1902 Country Club Dr Ste 120 Carrollton TX 75006-5824 | |
| (972) 820-6299 | |
| (972) 417-7000 |
| Full Name | Dallas Sigma Counseling Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1902 Country Club Dr Ste 120, Carrollton, Texas |
| Authorized Official Name and Position | Pyeongsoo Jung (CEO) |
| Authorized Official Contact | 2143587533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Sigma Counseling Services, Inc. 1902 Country Club Dr Ste 120 Carrollton TX 75006-5824 Ph: (972) 820-6299 | Dallas Sigma Counseling Services, Inc. 1902 Country Club Dr Ste 120 Carrollton TX 75006-5824 Ph: (972) 820-6299 |
| NPI Number | 1790090025 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 10/26/2012 |
| Medicare PECOS PAC ID | 9537312459 |
|---|---|
| Medicare Enrollment ID | O20121231000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790090025 | NPI | - | NPPES |
| 155596302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 18052 (Texas) | Primary |
| 103T00000X | Psychologist | 32519 (Texas) | Secondary |
| Provider Name | Alefiyah Bharmal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033565437 PECOS PAC ID: 9335431808 Enrollment ID: I20160705000368 |
| Provider Name | Robyn Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487924023 PECOS PAC ID: 1355623141 Enrollment ID: I20170201000498 |
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