| Emerge Renewed Therapy Llc | |
|
903 S Main St Ste 107 Duncanville TX 75137-2347 | |
| (469) 209-9074 | |
| Not Available |
| Full Name | Emerge Renewed Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 903 S Main St Ste 107, Duncanville, Texas |
| Authorized Official Name and Position | Tiffany Flores (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 4692099074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerge Renewed Therapy Llc 903 S Main St Ste 107 Duncanville TX 75137-2347 Ph: (469) 209-9074 | Emerge Renewed Therapy Llc 903 S Main St Ste 107 Duncanville TX 75137-2347 Ph: (469) 209-9074 |
| NPI Number | 1194428599 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Medicare PECOS PAC ID | 9537502497 |
|---|---|
| Medicare Enrollment ID | O20240207002247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194428599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Tiffany Luana Flores |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013435650 PECOS PAC ID: 4082057930 Enrollment ID: I20240207001930 |
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