| Eunoia Therapy & Self Development | |
|
1919 Taylor St Ste F1230 Houston TX 77007-3973 | |
| (501) 683-9365 | |
| Not Available |
| Full Name | Eunoia Therapy & Self Development |
|---|---|
| Speciality | Counselor |
| Location | 1919 Taylor St Ste F1230, Houston, Texas |
| Authorized Official Name and Position | Beatrice B Klokpah (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5016839365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eunoia Therapy & Self Development 1919 Taylor St Ste F1230 Houston TX 77007-3973 Ph: (501) 683-9365 | Eunoia Therapy & Self Development 1919 Taylor St Ste F1230 Houston TX 77007-3973 Ph: (501) 683-9365 |
| NPI Number | 1124580246 |
|---|---|
| Provider Enumeration Date | 04/06/2019 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Medicare PECOS PAC ID | 1355719683 |
|---|---|
| Medicare Enrollment ID | O20221117002370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124580246 | NPI | - | NPPES |
| 1669963096 | Other | AR | NPI |
| Provider Name | Buernorkie Beatrice Klokpah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669963096 PECOS PAC ID: 3173879087 Enrollment ID: I20221117002451 |
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