| Get Out Of Your Head Therapy, Llc | |
|
345 Owen Lane Suite 102 Waco TX 76710 | |
| (512) 686-6012 | |
| (512) 842-7227 |
| Full Name | Get Out Of Your Head Therapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 345 Owen Lane Suite 102, Waco, Texas |
| Authorized Official Name and Position | Ashleydawn Sheppard (OWNER) |
| Authorized Official Contact | 5126866012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Get Out Of Your Head Therapy, Llc 208 Hewitt Dr Ste 103 Box 218 Waco TX 76712 Ph: (512) 686-6012 | Get Out Of Your Head Therapy, Llc 345 Owen Lane Suite 102 Waco TX 76710 Ph: (512) 686-6012 |
| NPI Number | 1710359690 |
|---|---|
| Provider Enumeration Date | 10/30/2015 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/08/2023 |
| Medicare PECOS PAC ID | 6608162896 |
|---|---|
| Medicare Enrollment ID | O20160914002621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710359690 | NPI | - | NPPES |
| 406394301 | Medicaid | TX | |
| 336327702 | Medicaid | TX | |
| 406394302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 69395 (Texas) | Primary |
| 1041C0700X | Social Worker - Clinical | (Texas) | Secondary |
| Provider Name | Humberto Xavier Reveles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750935110 PECOS PAC ID: 0749511608 Enrollment ID: I20191008003028 |
| Provider Name | Tabitha Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558969287 PECOS PAC ID: 9537573498 Enrollment ID: I20210204001132 |
| Provider Name | Amanda Faye Frey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992459747 PECOS PAC ID: 0648664425 Enrollment ID: I20220221000679 |
| Provider Name | Patricia Huggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124524996 PECOS PAC ID: 6800246695 Enrollment ID: I20231219003823 |
| Provider Name | Ashleydawn Sheppard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518373562 PECOS PAC ID: 3173843935 Enrollment ID: I20231229001205 |
| Provider Name | Sara Shiels Brooks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588377741 PECOS PAC ID: 2567813389 Enrollment ID: I20240105002315 |
Enrichment Training And Counseling Solutions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6600 Sanger Ave, Suite 12, Waco, TX 76710 Phone: 254-235-3500 | |
Dr.jonas Moen P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W Hwy 6 Suite 100, Waco, TX 76712 Phone: 254-776-0026 | |
Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 | |
Greater Waco Counseling & Wellness, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6801 Sanger Ave, Waco, TX 76710 Phone: 254-304-9309 | |
Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 |