Expressive Thoughts Pllc | |
433 Kitty Hawk Rd Ste 211 Universal City TX 78148-3829 | |
(210) 371-9708 | |
(210) 267-5058 |
Full Name | Expressive Thoughts Pllc |
---|---|
Speciality | Community/Behavioral Health |
Location | 433 Kitty Hawk Rd Ste 211, Universal City, Texas |
Authorized Official Name and Position | Lawanda L Alford (OWNER) |
Authorized Official Contact | 2103719708 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Expressive Thoughts Pllc Po Box 1303 Converse TX 78109-4303 Ph: (210) 371-9708 | Expressive Thoughts Pllc 433 Kitty Hawk Rd Ste 211 Universal City TX 78148-3829 Ph: (210) 371-9708 |
NPI Number | 1548021793 |
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Provider Enumeration Date | 01/16/2024 |
Last Update Date | 01/16/2024 |
Certification Date | 01/16/2024 |
Medicare PECOS PAC ID | 0840732160 |
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Medicare Enrollment ID | O20240603000427 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548021793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Lawanda L Alford |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1427481985 PECOS PAC ID: 1759823073 Enrollment ID: I20240603000523 |
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