| |
3500 Hillcrest Dr Ste 2b Waco TX 76708-3100 | |
(254) 447-4539 | |
(254) 237-5369 |
Full Name | |
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Speciality | Counselor |
Location | 3500 Hillcrest Dr Ste 2b, Waco, Texas |
Authorized Official Name and Position | Ntiense Covey (OWNER) |
Authorized Official Contact | 2542308501 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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200 W State Highway 6 Ste 217 Waco TX 76712-3975 Ph: (254) 447-4539 | 3500 Hillcrest Dr Ste 2b Waco TX 76708-3100 Ph: (254) 447-4539 |
NPI Number | 1427591320 |
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Provider Enumeration Date | 11/24/2016 |
Last Update Date | 12/02/2024 |
Certification Date | 12/02/2024 |
Medicare PECOS PAC ID | 7719262153 |
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Medicare Enrollment ID | O20170327000439 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427591320 | NPI | - | NPPES |
410283201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Provider Name | Ntiense Covey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538602834 PECOS PAC ID: 7315220175 Enrollment ID: I20170202000412 |
Provider Name | Amanda Gayle Ibanez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326569666 PECOS PAC ID: 4789950270 Enrollment ID: I20171027002508 |
Provider Name | Ashley M Pitts |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154838357 PECOS PAC ID: 3274893854 Enrollment ID: I20180130000546 |
Provider Name | Mary Ellen Mchugh |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376874743 PECOS PAC ID: 9436331998 Enrollment ID: I20220503002492 |
Provider Name | Jennifer Wilfong |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1821606898 PECOS PAC ID: 2961853965 Enrollment ID: I20240103003720 |
Provider Name | Stacey Odell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659014983 PECOS PAC ID: 4880045160 Enrollment ID: I20240111000901 |
Enrichment Training And Counseling Solutions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6600 Sanger Ave, Suite 12, Waco, TX 76710 Phone: 254-235-3500 | |
Dr.jonas Moen P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W Hwy 6 Suite 100, Waco, TX 76712 Phone: 254-776-0026 | |
Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 | |
Greater Waco Counseling & Wellness, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6801 Sanger Ave, Waco, TX 76710 Phone: 254-304-9309 | |
Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 |