| Inmindout Emotional Wellness Center, Llc | |
|
645 N Walnut Ave New Braunfels TX 78130-7925 | |
| (830) 730-6090 | |
| (830) 455-4355 |
| Full Name | Inmindout Emotional Wellness Center, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 645 N Walnut Ave, New Braunfels, Texas |
| Authorized Official Name and Position | Heather Ingram (CEO) |
| Authorized Official Contact | 2107870200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inmindout Emotional Wellness Center, Llc 262 N Union Ave New Braunfels TX 78130-4450 Ph: (830) 730-6090 | Inmindout Emotional Wellness Center, Llc 645 N Walnut Ave New Braunfels TX 78130-7925 Ph: (830) 730-6090 |
| NPI Number | 1457799330 |
|---|---|
| Provider Enumeration Date | 06/12/2013 |
| Last Update Date | 11/28/2022 |
| Certification Date | 11/28/2022 |
| Medicare PECOS PAC ID | 9739318379 |
|---|---|
| Medicare Enrollment ID | O20140131000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457799330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 36336 (Texas) | Primary |
| Provider Name | Heather A Ingram |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356789234 PECOS PAC ID: 8729217369 Enrollment ID: I20140131000968 |
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