| Heavenly Counseling Pllc | |
|
3861 Long Prairie Rd Ste 101 Flower Mound TX 75028-1799 | |
| (214) 436-2272 | |
| (469) 464-9924 |
| Full Name | Heavenly Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3861 Long Prairie Rd Ste 101, Flower Mound, Texas |
| Authorized Official Name and Position | Alexandr Philip (OWNER) |
| Authorized Official Contact | 2144362272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heavenly Counseling Pllc 3861 Long Prairie Rd Ste 101 Flower Mound TX 75028-1799 Ph: (214) 436-2272 | Heavenly Counseling Pllc 3861 Long Prairie Rd Ste 101 Flower Mound TX 75028-1799 Ph: (214) 436-2272 |
| NPI Number | 1699307405 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 02/10/2020 |
| Certification Date | 02/10/2020 |
| Medicare PECOS PAC ID | 2769924802 |
|---|---|
| Medicare Enrollment ID | O20240605000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699307405 | NPI | - | NPPES |
| 74513 | Other | TX | LPC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Alexandr Philip |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245603000 PECOS PAC ID: 1456893593 Enrollment ID: I20240605000778 |
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