| |
4655 Cohen Ave Ste B Rm-1 El Paso TX 79924 | |
(915) 201-2229 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 4655 Cohen Ave, El Paso, Texas |
Authorized Official Name and Position | Benjamin Valencia (OWNER) |
Authorized Official Contact | 9155260780 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 786 Tornillo TX 79853-0786 Ph: (915) 526-0780 | 4655 Cohen Ave Ste B Rm-1 El Paso TX 79924 Ph: (915) 201-2229 |
NPI Number | 1922878180 |
---|---|
Provider Enumeration Date | 01/08/2024 |
Last Update Date | 06/11/2024 |
Certification Date | 06/11/2024 |
Medicare PECOS PAC ID | 9234676768 |
---|---|
Medicare Enrollment ID | O20240801003819 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922878180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Benjamin Valencia |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548948409 PECOS PAC ID: 8224478250 Enrollment ID: I20240801004056 |
Monica Mcgowan, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 N Campbell St, El Paso, TX 79902 Phone: 915-545-1520 | |
Strength In Action Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5941 Fiesta Dr, El Paso, TX 79912 Phone: 915-412-0468 | |
Growth Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14219 Ranier Point, El Paso, TX 79938 Phone: 915-329-4047 | |
El Paso Healthyminds Psychiatry, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2101 N Oregon St, El Paso, TX 79902 Phone: 915-577-7888 | |