| Inner Self Behavioral Health Llc | |
|
6850 Manhattan Blvd Ste 300-19 Fort Worth TX 76120-1227 | |
| (817) 631-1298 | |
| Not Available |
| Full Name | Inner Self Behavioral Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6850 Manhattan Blvd Ste 300-19, Fort Worth, Texas |
| Authorized Official Name and Position | Satang Ann (PMHNP-BC) |
| Authorized Official Contact | 9728413706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Self Behavioral Health Llc 6850 Manhattan Blvd Ste 300-19 Fort Worth TX 76120-1227 Ph: (972) 841-3706 | Inner Self Behavioral Health Llc 6850 Manhattan Blvd Ste 300-19 Fort Worth TX 76120-1227 Ph: (817) 631-1298 |
| NPI Number | 1104514306 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 07/04/2023 |
| Certification Date | 07/04/2023 |
| Medicare PECOS PAC ID | 6305202078 |
|---|---|
| Medicare Enrollment ID | O20230523000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104514306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Satang Ann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487380929 PECOS PAC ID: 8921475278 Enrollment ID: I20230117001050 |
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