Elite Performance Counseling | |
17806 W Interstate 10 Ste 300 San Antonio TX 78257-8222 | |
(210) 636-1550 | |
Not Available |
Full Name | Elite Performance Counseling |
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Speciality | Counselor |
Location | 17806 W Interstate 10 Ste 300, San Antonio, Texas |
Authorized Official Name and Position | Tritia M Finley (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2106361550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elite Performance Counseling 17806 W Interstate 10 Ste 300 San Antonio TX 78257-8222 Ph: (210) 636-1550 | Elite Performance Counseling 17806 W Interstate 10 Ste 300 San Antonio TX 78257-8222 Ph: (210) 636-1550 |
NPI Number | 1487344917 |
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Provider Enumeration Date | 05/09/2023 |
Last Update Date | 02/28/2024 |
Certification Date | 02/28/2024 |
Medicare PECOS PAC ID | 9133564180 |
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Medicare Enrollment ID | O20240229000704 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487344917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Tritia Finley |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1821667692 PECOS PAC ID: 7416318894 Enrollment ID: I20240229001409 |
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