Healing Path Psychological Services | |
1011 Granbury St Cleburne TX 76033-5752 | |
(939) 645-1555 | |
(817) 755-1740 |
Full Name | Healing Path Psychological Services |
---|---|
Speciality | Psychologist |
Location | 1011 Granbury St, Cleburne, Texas |
Authorized Official Name and Position | Keila Santos (OWNER) |
Authorized Official Contact | 9396451555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Healing Path Psychological Services Po Box 241 Keene TX 76059-0241 Ph: (939) 645-1555 | Healing Path Psychological Services 1011 Granbury St Cleburne TX 76033-5752 Ph: (939) 645-1555 |
NPI Number | 1407470974 |
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Provider Enumeration Date | 06/01/2020 |
Last Update Date | 06/01/2020 |
Certification Date | 06/01/2020 |
Medicare PECOS PAC ID | 0941624399 |
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Medicare Enrollment ID | O20200720000695 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407470974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Keila Santos- Crespo |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1841612249 PECOS PAC ID: 1850715202 Enrollment ID: I20200720001224 |
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