| Dominique Spigner, Llc | |
|
106 Morgan St Ste B Mount Pleasant TX 75455-5600 | |
| (903) 380-1454 | |
| (877) 415-3699 |
| Full Name | Dominique Spigner, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 106 Morgan St Ste B, Mount Pleasant, Texas |
| Authorized Official Name and Position | Dominique Spigner (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9033801454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Spigner, Llc Po Box 1756 Mount Pleasant TX 75456-1756 Ph: (903) 380-1454 | Dominique Spigner, Llc 106 Morgan St Ste B Mount Pleasant TX 75455-5600 Ph: (903) 380-1454 |
| NPI Number | 1558907212 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 05/23/2020 |
| Certification Date | 05/23/2020 |
| Medicare PECOS PAC ID | 7012341498 |
|---|---|
| Medicare Enrollment ID | O20191217002298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558907212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dominique Spigner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790333904 PECOS PAC ID: 8921432303 Enrollment ID: I20191217002367 |
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