| The Ecumenical Center For Religion And Health | |
|
8310 Ewing Halsell Drive San Antonio TX 78229-3715 | |
| (210) 616-0885 | |
| (210) 614-5633 |
| Full Name | The Ecumenical Center For Religion And Health |
|---|---|
| Speciality | Counselor |
| Location | 8310 Ewing Halsell Drive, San Antonio, Texas |
| Authorized Official Name and Position | Mary Beth Fisk (CEO / EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2106160885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ecumenical Center For Religion And Health 8310 Ewing Halsell Drive San Antonio TX 78229-3715 Ph: (210) 616-0885 | The Ecumenical Center For Religion And Health 8310 Ewing Halsell Drive San Antonio TX 78229-3715 Ph: (210) 616-0885 |
| NPI Number | 1720147093 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 05/27/2021 |
| Certification Date | 05/27/2021 |
| Medicare PECOS PAC ID | 6204863491 |
|---|---|
| Medicare Enrollment ID | O20050719001210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720147093 | NPI | - | NPPES |
| 00N04F | Other | BCBS | |
| 080417101 | Medicaid | TX |
| Provider Name | Julie B Gowen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033294046 PECOS PAC ID: 9739173105 Enrollment ID: I20040409000482 |
| Provider Name | Cheryl A Camarillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093855678 PECOS PAC ID: 7911981691 Enrollment ID: I20040618000166 |
| Provider Name | Thomas J Preininger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548220114 PECOS PAC ID: 0042268567 Enrollment ID: I20110607000390 |
| Provider Name | Frank E Emmett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295743706 PECOS PAC ID: 4284807363 Enrollment ID: I20111107000066 |
| Provider Name | Nancy B Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184654964 PECOS PAC ID: 3173781200 Enrollment ID: I20120221000823 |
| Provider Name | Thelma L Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265768659 PECOS PAC ID: 1052566569 Enrollment ID: I20130308000010 |
| Provider Name | Edwin L Gerwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548320989 PECOS PAC ID: 1153709449 Enrollment ID: I20220526002559 |
| Provider Name | Marie A Martian-joseph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023259108 PECOS PAC ID: 6103265293 Enrollment ID: I20240423001169 |
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