| Infinite Potential Counseling, Inc | |
|
1000 Gattis School Rd Ste 410 Round Rock TX 78664-2569 | |
| (512) 230-3740 | |
| Not Available |
| Full Name | Infinite Potential Counseling, Inc |
|---|---|
| Speciality | Counselor |
| Location | 1000 Gattis School Rd Ste 410, Round Rock, Texas |
| Authorized Official Name and Position | Mary Parker (OWNER) |
| Authorized Official Contact | 5122303740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Potential Counseling, Inc 1000 Gattis School Rd Ste 410 Round Rock TX 78664-2569 Ph: (512) 230-3740 | Infinite Potential Counseling, Inc 1000 Gattis School Rd Ste 410 Round Rock TX 78664-2569 Ph: (512) 230-3740 |
| NPI Number | 1003422114 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Medicare PECOS PAC ID | 2961852116 |
|---|---|
| Medicare Enrollment ID | O20231229001613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003422114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871041061 PECOS PAC ID: 3870943020 Enrollment ID: I20231229001713 |
| Provider Name | Ross Lacombe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437817848 PECOS PAC ID: 7113366592 Enrollment ID: I20240418000122 |
| Provider Name | Blanca Itzel Vela |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013364611 PECOS PAC ID: 1254770407 Enrollment ID: I20240419002834 |
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