| Hope Reimagined Psychological Services Pllc | |
|
11321 S Emerald Ranch Ln Forney TX 75126-7535 | |
| (469) 358-2185 | |
| Not Available |
| Full Name | Hope Reimagined Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 11321 S Emerald Ranch Ln, Forney, Texas |
| Authorized Official Name and Position | Chelsea Wooley (PRESIDENT) |
| Authorized Official Contact | 4693582185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Reimagined Psychological Services Pllc 5900 Balcones Dr Ste 100 Austin TX 78731-4298 Ph: () - | Hope Reimagined Psychological Services Pllc 11321 S Emerald Ranch Ln Forney TX 75126-7535 Ph: (469) 358-2185 |
| NPI Number | 1962189852 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 07/03/2023 |
| Certification Date | 07/01/2023 |
| Medicare PECOS PAC ID | 8224490479 |
|---|---|
| Medicare Enrollment ID | O20230821000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962189852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Chelsea N Wooley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528645835 PECOS PAC ID: 3779974076 Enrollment ID: I20211221001805 |
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