| Experience Life Counseling Services, Pllc | |
|
1408b Stonehollow Dr Ste 600 Kingwood TX 77339-2277 | |
| (281) 849-4402 | |
| Not Available |
| Full Name | Experience Life Counseling Services, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1408b Stonehollow Dr Ste 600, Kingwood, Texas |
| Authorized Official Name and Position | Cecily Dawson (THERAPIST/OWNER) |
| Authorized Official Contact | 2818494402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Experience Life Counseling Services, Pllc 1408b Stonehollow Dr Ste 600 Kingwood TX 77339-2277 Ph: (281) 849-4402 | Experience Life Counseling Services, Pllc 1408b Stonehollow Dr Ste 600 Kingwood TX 77339-2277 Ph: (281) 849-4402 |
| NPI Number | 1215557681 |
|---|---|
| Provider Enumeration Date | 04/25/2020 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Medicare PECOS PAC ID | 6406290493 |
|---|---|
| Medicare Enrollment ID | O20240218000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215557681 | NPI | - | NPPES |
| Provider Name | Cecily Batiste Dawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053973412 PECOS PAC ID: 7214371202 Enrollment ID: I20240218000115 |
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