|
| |
|
2121 W Waco Dr Suite 545 Waco TX 76707-3480 | |
| (254) 235-6542 | |
| (254) 235-6254 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2121 W Waco Dr, Waco, Texas |
| Authorized Official Name and Position | Jasmine E Khan (OWNER) |
| Authorized Official Contact | 2542356542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2121 W Waco Dr Waco TX 76707-3480 Ph: (254) 235-6542 | 2121 W Waco Dr Suite 545 Waco TX 76707-3480 Ph: (254) 235-6542 |
| NPI Number | 1184921660 |
|---|---|
| Provider Enumeration Date | 02/18/2011 |
| Last Update Date | 07/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184921660 | NPI | - | NPPES |
| 027587702 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 14251 (Texas) | Primary |
| 103T00000X | Psychologist | 34737 (Texas) | Secondary |
Enrichment Training And Counseling Solutions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6600 Sanger Ave, Suite 12, Waco, TX 76710 Phone: 254-235-3500 | |
Dr.jonas Moen P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W Hwy 6 Suite 100, Waco, TX 76712 Phone: 254-776-0026 | |
Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 | |
Greater Waco Counseling & Wellness, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6801 Sanger Ave, Waco, TX 76710 Phone: 254-304-9309 | |
Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 |