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1360 Bordeaux Ln New Braunfels TX 78132-2681 | |
| (830) 510-3542 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1360 Bordeaux Ln, New Braunfels, Texas |
| Authorized Official Name and Position | Tritonya Murray (OWNER) |
| Authorized Official Contact | 8305103542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1360 Bordeaux Ln New Braunfels TX 78132-2681 Ph: (830) 510-3542 | 1360 Bordeaux Ln New Braunfels TX 78132-2681 Ph: (830) 510-3542 |
| NPI Number | 1750092839 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Medicare PECOS PAC ID | 4981041191 |
|---|---|
| Medicare Enrollment ID | O20240325000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750092839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tritonya Murray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518624808 PECOS PAC ID: 5890132005 Enrollment ID: I20240325000381 |
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