| Frontera Therapy, Pllc | |
|
154 N Festival Dr Ste B El Paso TX 79912-6265 | |
| (915) 216-2978 | |
| (915) 218-6121 |
| Full Name | Frontera Therapy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 154 N Festival Dr Ste B, El Paso, Texas |
| Authorized Official Name and Position | Weylin Burlingame (THERAPIST/OWNER) |
| Authorized Official Contact | 9152162978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontera Therapy, Pllc 7220 Rochester Dr El Paso TX 79912-1522 Ph: (915) 216-2978 | Frontera Therapy, Pllc 154 N Festival Dr Ste B El Paso TX 79912-6265 Ph: (915) 216-2978 |
| NPI Number | 1568977700 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 12/11/2017 |
| Medicare PECOS PAC ID | 3072876846 |
|---|---|
| Medicare Enrollment ID | O20220524001930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568977700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 64903 (Texas) | Primary |
| Provider Name | Weylin Burlingame |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154836898 PECOS PAC ID: 4981967759 Enrollment ID: I20220524002004 |
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