| Km Counseling Services Pllc | |
|
19315 Fm 2252 Ste 310 Garden Ridge TX 78266-2553 | |
| (210) 314-1606 | |
| (210) 714-9639 |
| Full Name | Km Counseling Services Pllc |
|---|---|
| Speciality | Counselor |
| Location | 19315 Fm 2252 Ste 310, Garden Ridge, Texas |
| Authorized Official Name and Position | Kelly Renee Martin (OWNER) |
| Authorized Official Contact | 2103141606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Km Counseling Services Pllc 19315 Fm 2252 Ste 310 Garden Ridge TX 78266-2553 Ph: (210) 314-1606 | Km Counseling Services Pllc 19315 Fm 2252 Ste 310 Garden Ridge TX 78266-2553 Ph: (210) 314-1606 |
| NPI Number | 1508329087 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 04/10/2019 |
| Medicare PECOS PAC ID | 3779019807 |
|---|---|
| Medicare Enrollment ID | O20241211004860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508329087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kelly Renee Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821347394 PECOS PAC ID: 4688100712 Enrollment ID: I20241211004867 |
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