Glory To Glory Counseling, Pllc | |
5606 N Navarro St Ste 200-h Victoria TX 77904-1727 | |
(361) 433-5527 | |
Not Available |
Full Name | Glory To Glory Counseling, Pllc |
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Speciality | Community/Behavioral Health |
Location | 5606 N Navarro St Ste 200-h, Victoria, Texas |
Authorized Official Name and Position | La Shaundrea Harris (OWNER) |
Authorized Official Contact | 3612184653 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Glory To Glory Counseling, Pllc 104 Byron Ln Victoria TX 77901-3646 Ph: (361) 433-5527 | Glory To Glory Counseling, Pllc 5606 N Navarro St Ste 200-h Victoria TX 77904-1727 Ph: (361) 433-5527 |
NPI Number | 1700519543 |
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Provider Enumeration Date | 07/08/2022 |
Last Update Date | 10/03/2023 |
Certification Date | 10/03/2023 |
Medicare PECOS PAC ID | 0749629418 |
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Medicare Enrollment ID | O20240415000186 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700519543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | La Shaundrea Harris |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1114671294 PECOS PAC ID: 1658710322 Enrollment ID: I20240415000410 |
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