| Huguley Psychotherapy Clinic, Inc. | |
|
214 N Caddo St Cleburne TX 76031-4904 | |
| (817) 558-2988 | |
| Not Available |
| Full Name | Huguley Psychotherapy Clinic, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 214 N Caddo St, Cleburne, Texas |
| Authorized Official Name and Position | Sylvia Joy Black (PRESIDENT) |
| Authorized Official Contact | 8175582988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huguley Psychotherapy Clinic, Inc. 214 N Caddo St Cleburne TX 76031-4904 Ph: (817) 558-2988 | Huguley Psychotherapy Clinic, Inc. 214 N Caddo St Cleburne TX 76031-4904 Ph: (817) 558-2988 |
| NPI Number | 1275707820 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/20/2011 |
| Medicare PECOS PAC ID | 8123158680 |
|---|---|
| Medicare Enrollment ID | O20100609000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275707820 | NPI | - | NPPES |
| 183595 | Other | TX | VALUE OPTIONS |
| 1197543-06 | Medicaid | TX | |
| 6275711 | Other | TX | UBH |
| 124649 | Other | TX | MHN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | S14390 (Texas) | Primary |
| Provider Name | Sylvia J Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659317444 PECOS PAC ID: 0749310209 Enrollment ID: I20100609000551 |
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