| Enriching Counseling Services Pllc | |
|
107 1st St W Ste 200 Humble TX 77338-3601 | |
| (832) 771-5630 | |
| Not Available |
| Full Name | Enriching Counseling Services Pllc |
|---|---|
| Speciality | Counselor |
| Location | 107 1st St W Ste 200, Humble, Texas |
| Authorized Official Name and Position | Jennifer Leslie-vanblarcom (OWNER) |
| Authorized Official Contact | 8327715630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enriching Counseling Services Pllc 107 1st St W Ste 200 Humble TX 77338-3601 Ph: (832) 771-5630 | Enriching Counseling Services Pllc 107 1st St W Ste 200 Humble TX 77338-3601 Ph: (832) 771-5630 |
| NPI Number | 1801240239 |
|---|---|
| Provider Enumeration Date | 04/22/2016 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Medicare PECOS PAC ID | 5991148199 |
|---|---|
| Medicare Enrollment ID | O20240205002190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801240239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jennifer Georgia Leslie-vanblarcom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568724672 PECOS PAC ID: 6800239005 Enrollment ID: I20240205002476 |
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