| Devine Counseling And Wellness Associates Llc | |
|
612 E Hondo Ave Devine TX 78016-3320 | |
| (830) 224-0024 | |
| (830) 224-0030 |
| Full Name | Devine Counseling And Wellness Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 612 E Hondo Ave, Devine, Texas |
| Authorized Official Name and Position | Vonna Smith (MANAGER) |
| Authorized Official Contact | 2106322728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Devine Counseling And Wellness Associates Llc 612 E Hondo Ave Devine TX 78016-3320 Ph: (210) 632-2728 | Devine Counseling And Wellness Associates Llc 612 E Hondo Ave Devine TX 78016-3320 Ph: (830) 224-0024 |
| NPI Number | 1295578284 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Medicare PECOS PAC ID | 2163967878 |
|---|---|
| Medicare Enrollment ID | O20240717001595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295578284 | NPI | - | NPPES |
| Provider Name | Vonna Jo Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225797699 PECOS PAC ID: 9234517376 Enrollment ID: I20220602000762 |
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