| K&m Mental Health Clinic Llc | |
|
10511 Burnished Bay Ln Richmond TX 77406-2972 | |
| (832) 867-2447 | |
| Not Available |
| Full Name | K&m Mental Health Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10511 Burnished Bay Ln, Richmond, Texas |
| Authorized Official Name and Position | Alice Kebeumen Jamen (OWNER) |
| Authorized Official Contact | 8328672447 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| K&m Mental Health Clinic Llc 10511 Burnished Bay Ln Richmond TX 77406-2972 Ph: (832) 867-2447 | K&m Mental Health Clinic Llc 10511 Burnished Bay Ln Richmond TX 77406-2972 Ph: (832) 867-2447 |
| NPI Number | 1639888621 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Medicare PECOS PAC ID | 8022483684 |
|---|---|
| Medicare Enrollment ID | O20230412002699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639888621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Alice Kebeumen Jamen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780301077 PECOS PAC ID: 0840665402 Enrollment ID: I20230412002746 |
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