Ego Integrity Counseling & Wellness Llc | |
400 S Alamo Blvd Ste E Marshall TX 75670-4260 | |
(903) 658-8090 | |
Not Available |
Full Name | Ego Integrity Counseling & Wellness Llc |
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Speciality | Community/Behavioral Health |
Location | 400 S Alamo Blvd Ste E, Marshall, Texas |
Authorized Official Name and Position | Deanna Robinson (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 9032637091 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ego Integrity Counseling & Wellness Llc 400 S Alamo Blvd Ste E Marshall TX 75670-4260 Ph: (903) 658-8090 | Ego Integrity Counseling & Wellness Llc 400 S Alamo Blvd Ste E Marshall TX 75670-4260 Ph: (903) 658-8090 |
NPI Number | 1477177673 |
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Provider Enumeration Date | 06/03/2020 |
Last Update Date | 06/03/2020 |
Certification Date | 06/03/2020 |
Medicare PECOS PAC ID | 0143642694 |
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Medicare Enrollment ID | O20200630000335 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477177673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Deanna E Robinson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588293773 PECOS PAC ID: 9638509151 Enrollment ID: I20200424001861 |
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