| In Service Of Thee Pllc | |
|
15901 Central Commerce Dr Pflugerville TX 78660-2041 | |
| (512) 521-4736 | |
| Not Available |
| Full Name | In Service Of Thee Pllc |
|---|---|
| Speciality | Counselor |
| Location | 15901 Central Commerce Dr, Pflugerville, Texas |
| Authorized Official Name and Position | Nicholas Bonacci (SOLE MEMBER) |
| Authorized Official Contact | 5125214736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In Service Of Thee Pllc 2051 Gattis School Rd Ste 540 Round Rock TX 78664-7445 Ph: () - | In Service Of Thee Pllc 15901 Central Commerce Dr Pflugerville TX 78660-2041 Ph: (512) 521-4736 |
| NPI Number | 1215671961 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 04/27/2022 |
| Certification Date | 04/12/2022 |
| Medicare PECOS PAC ID | 0446790364 |
|---|---|
| Medicare Enrollment ID | O20240906000680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215671961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Nicholas S Bonacci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437658697 PECOS PAC ID: 3375083041 Enrollment ID: I20240924001125 |
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