| Divine Hope Counseling & Assessment Services | |
|
215 Lakeway Dr Waxahachie TX 75165-6814 | |
| (901) 207-0223 | |
| Not Available |
| Full Name | Divine Hope Counseling & Assessment Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 Lakeway Dr, Waxahachie, Texas |
| Authorized Official Name and Position | Caserea Nikkol Townsend (OWNER) |
| Authorized Official Contact | 9012070223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Hope Counseling & Assessment Services 215 Lakeway Dr Waxahachie TX 75165-6814 Ph: (901) 207-0223 | Divine Hope Counseling & Assessment Services 215 Lakeway Dr Waxahachie TX 75165-6814 Ph: (901) 207-0223 |
| NPI Number | 1215784962 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 0749622918 |
|---|---|
| Medicare Enrollment ID | O20240521000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215784962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Caserea Nikkol Townsend |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417628777 PECOS PAC ID: 7911346945 Enrollment ID: I20240423002850 |
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