| Glc Wellness Center Texas Llc | |
|
777 E Wheatland Rd Ste 106 Duncanville TX 75116-4918 | |
| (702) 587-8106 | |
| (972) 685-5108 |
| Full Name | Glc Wellness Center Texas Llc |
|---|---|
| Speciality | General Practice |
| Location | 777 E Wheatland Rd Ste 106, Duncanville, Texas |
| Authorized Official Name and Position | Dante Young (CEO) |
| Authorized Official Contact | 7025878106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glc Wellness Center Texas Llc 777 E Wheatland Rd Ste 106 Duncanville TX 75116-4918 Ph: (702) 587-8106 | Glc Wellness Center Texas Llc 777 E Wheatland Rd Ste 106 Duncanville TX 75116-4918 Ph: (702) 587-8106 |
| NPI Number | 1700433653 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/06/2022 |
| Medicare PECOS PAC ID | 0143658906 |
|---|---|
| Medicare Enrollment ID | O20200310002430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700433653 | NPI | - | NPPES |
| 405039501 | Medicaid | TX | |
| 455039503 | Medicaid | TX | |
| 405039504 | Medicaid | TX | |
| 405039502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jeffrey C Patterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932166378 PECOS PAC ID: 8921900705 Enrollment ID: I20040122000699 |
| Provider Name | Dralves G Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568401701 PECOS PAC ID: 4880658434 Enrollment ID: I20041115000393 |
| Provider Name | Murray R Strauss |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568655652 PECOS PAC ID: 9133301088 Enrollment ID: I20110314000628 |
| Provider Name | Dennis R. Abbas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013928720 PECOS PAC ID: 7517132475 Enrollment ID: I20111205000885 |
| Provider Name | Tricia Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447561394 PECOS PAC ID: 3577840404 Enrollment ID: I20170503000008 |
| Provider Name | Edward Galvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891115614 PECOS PAC ID: 0749556900 Enrollment ID: I20171017000447 |
| Provider Name | Valarie Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578062089 PECOS PAC ID: 6002167855 Enrollment ID: I20180919000854 |
| Provider Name | Sara Koenig Langston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265095061 PECOS PAC ID: 3577895317 Enrollment ID: I20191029001934 |
| Provider Name | Kristina Byrd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790297562 PECOS PAC ID: 9436416450 Enrollment ID: I20191030001453 |
| Provider Name | Shola Philip Akinfiresoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104339373 PECOS PAC ID: 9234462953 Enrollment ID: I20201103002434 |
| Provider Name | Mofoluwasho Adenekan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407460207 PECOS PAC ID: 0244642627 Enrollment ID: I20230509003176 |
| Provider Name | Tenesia Nicole Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740733740 PECOS PAC ID: 8123430436 Enrollment ID: I20240423002935 |
Blue Sky Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 407 N Cedar Ridge Dr, #320, Duncanville, TX 75116 Phone: 972-709-7556 Fax: 972-709-7611 | |
Leap Applied Behavioral Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 W Center St, Duncanville, TX 75116 Phone: 469-642-8455 | |
Kls Counseling & Consulting Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 S Main St, Suite 214, Duncanville, TX 75116 Phone: 469-407-0381 Fax: 972-572-1069 | |
Tri-therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 S Main St Ste 107, Duncanville, TX 75137 Phone: 214-702-6066 | |
The Root Of The Matter Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 Santa Fe Trl Ste 4, Duncanville, TX 75137 Phone: 682-730-2816 | |
Talk Spot Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Fairway Dr, Duncanville, TX 75137 Phone: 214-875-1816 | |
Toni L. Wood Lpc Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 Santa Fe Trl, Suite #3, Duncanville, TX 75137 Phone: 214-695-9341 |