| Family Service Center Of Galveston County, Texas | |
|
2200 Market St Suite 600 Galveston TX 77550-1530 | |
| (409) 762-8636 | |
| (409) 762-4185 |
| Full Name | Family Service Center Of Galveston County, Texas |
|---|---|
| Speciality | Counselor |
| Location | 2200 Market St, Galveston, Texas |
| Authorized Official Name and Position | William Buffum (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4097628636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Center Of Galveston County, Texas 2200 Market St Suite 600 Galveston TX 77550-1530 Ph: (409) 762-8636 | Family Service Center Of Galveston County, Texas 2200 Market St Suite 600 Galveston TX 77550-1530 Ph: (409) 762-8636 |
| NPI Number | 1902871833 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8022038520 |
|---|---|
| Medicare Enrollment ID | O20051129000754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902871833 | NPI | - | NPPES |
| 00T30L | Other | TX | BLUE CROSS BLUE SHIELD |
| 281800 | Other | TX | MANAGED HEALTH NETWORK |
| 5283681 | Other | TX | AETNA |
| FAMIL-0045 | Other | TX | COMPREHENSIVE BEHAVIOR HE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | NA (Texas) | Primary |
| Provider Name | Phylette N Mitchell-willis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972755346 PECOS PAC ID: 1850453655 Enrollment ID: I20090102000075 |
| Provider Name | Patricia Merkley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659340164 PECOS PAC ID: 9133291826 Enrollment ID: I20150623001596 |
| Provider Name | Helen D Whitehouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912426172 PECOS PAC ID: 6800153644 Enrollment ID: I20171201002298 |
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