| Journey Of Courage Llc | |
|
111 N Hasler Blvd Ste 215 Bastrop TX 78602-3984 | |
| (210) 244-3154 | |
| Not Available |
| Full Name | Journey Of Courage Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 111 N Hasler Blvd Ste 215, Bastrop, Texas |
| Authorized Official Name and Position | Thelma S. Bell-punchard (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2102443154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Of Courage Llc 639 Waugh Way Bastrop TX 78602-7465 Ph: (210) 244-3154 | Journey Of Courage Llc 111 N Hasler Blvd Ste 215 Bastrop TX 78602-3984 Ph: (210) 244-3154 |
| NPI Number | 1881292407 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881292407 | NPI | - | NPPES |
| 75047 | Other | TX | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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