Grapevine Psychology | |
1135 S Main St Grapevine TX 76051-7533 | |
(817) 329-5041 | |
(844) 729-1745 |
Full Name | Grapevine Psychology |
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Speciality | Clinic/Center |
Location | 1135 S Main St, Grapevine, Texas |
Authorized Official Name and Position | Meredith Whitley (OFFICE MANAGER) |
Authorized Official Contact | 8173295041 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grapevine Psychology 1135 S Main St Grapevine TX 76051-7533 Ph: (817) 329-5041 | Grapevine Psychology 1135 S Main St Grapevine TX 76051-7533 Ph: (817) 329-5041 |
NPI Number | 1396124285 |
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Provider Enumeration Date | 05/25/2015 |
Last Update Date | 08/05/2020 |
Certification Date | 08/05/2020 |
Medicare PECOS PAC ID | 3971922717 |
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Medicare Enrollment ID | O20200929001330 |
Identifier | Type | State | Issuer |
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1396124285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 36818 (Texas) | Secondary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Kari Leavell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1750760641 PECOS PAC ID: 4880013622 Enrollment ID: I20200929001504 |
Provider Name | Christopher Slack |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1407593221 PECOS PAC ID: 2567843170 Enrollment ID: I20220713003254 |
Provider Name | Delisa Deutsch Perry |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417054750 PECOS PAC ID: 8628417904 Enrollment ID: I20240419000241 |
Provider Name | Meghan Maria Cromie |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295306611 PECOS PAC ID: 1658711833 Enrollment ID: I20240506000405 |
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Shawn Boggs Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 S Main St, Suite 212, Grapevine, TX 76051 Phone: 817-410-4772 Fax: 817-410-4773 | |
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Samuel J. Roberts And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 E College St, Ste A-100, Grapevine, TX 76051 Phone: 817-424-5157 Fax: 817-424-1766 | |
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