Gateway 2 Counseling | |
910 Poydras St Sugar Land TX 77498-6355 | |
(713) 899-0614 | |
(713) 899-0614 |
Full Name | Gateway 2 Counseling |
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Speciality | Counselor |
Location | 910 Poydras St, Sugar Land, Texas |
Authorized Official Name and Position | Terry Azzouz (CEO) |
Authorized Official Contact | 7138990614 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gateway 2 Counseling 910 Poydras St Sugar Land TX 77498-6355 Ph: (713) 899-0614 | Gateway 2 Counseling 910 Poydras St Sugar Land TX 77498-6355 Ph: (713) 899-0614 |
NPI Number | 1821506627 |
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Provider Enumeration Date | 01/15/2018 |
Last Update Date | 01/15/2018 |
Medicare PECOS PAC ID | 0143762955 |
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Medicare Enrollment ID | O20240607003021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821506627 | NPI | - | NPPES |
1194843425 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 16335 (Texas) | Primary |
Provider Name | Terry L Azzouz |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1477689610 PECOS PAC ID: 1052853868 Enrollment ID: I20240607003246 |
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