| Insight Therapy Of Texas | |
|
909 Ese Loop323 Ste 635 Tyler TX 75701-0430 | |
| (903) 952-8737 | |
| (903) 787-5048 |
| Full Name | Insight Therapy Of Texas |
|---|---|
| Speciality | Social Worker |
| Location | 909 Ese Loop323 Ste 635, Tyler, Texas |
| Authorized Official Name and Position | Deborah Renneker (OWNER) |
| Authorized Official Contact | 9039528737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Therapy Of Texas 909 Ese Loop323 Ste 635 Tyler TX 75701-0430 Ph: (903) 952-8737 | Insight Therapy Of Texas 909 Ese Loop323 Ste 635 Tyler TX 75701-0430 Ph: (903) 952-8737 |
| NPI Number | 1114405206 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 4880938687 |
|---|---|
| Medicare Enrollment ID | O20181205002185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114405206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah R Renneker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063888626 PECOS PAC ID: 8325382138 Enrollment ID: I20181205002314 |
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