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8408 Davis Blvd North Richland Hills TX 76182-8685 | |
| (682) 382-1329 | |
| (817) 918-7307 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 8408 Davis Blvd, North Richland Hills, Texas |
| Authorized Official Name and Position | Graciela M Valenzuela (CLINIC DIRECTOR) |
| Authorized Official Contact | 8176821600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
748 Richmond Ln Keller TX 76248-5244 Ph: (817) 682-1600 | 8408 Davis Blvd North Richland Hills TX 76182-8685 Ph: (682) 382-1329 |
| NPI Number | 1477277192 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Medicare PECOS PAC ID | 3072058387 |
|---|---|
| Medicare Enrollment ID | O20240711000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477277192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Graciela Maria Valenzuela Moncibaiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639277064 PECOS PAC ID: 7517402829 Enrollment ID: I20240711000754 |
| Provider Name | Susana Nava Munoz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629789193 PECOS PAC ID: 1456896786 Enrollment ID: I20240711001110 |
| Provider Name | Samantha Denham Hatchett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477316594 PECOS PAC ID: 0446795785 Enrollment ID: I20240711001505 |
| Provider Name | Janet S Chamberlain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225805047 PECOS PAC ID: 5991240178 Enrollment ID: I20240711003242 |
| Provider Name | Elizabeth Gayle Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043470008 PECOS PAC ID: 1658816772 Enrollment ID: I20240712003942 |
| Provider Name | Lauren R Nash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871369686 PECOS PAC ID: 4385181213 Enrollment ID: I20240808003187 |
| Provider Name | Brandi Danielle Read |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124874326 PECOS PAC ID: 3577001346 Enrollment ID: I20240813000364 |
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Principal Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9153 Belshire Dr Ste 140, North Richland Hills, TX 76182 Phone: 817-983-4141 | |
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