Let It Rain Psychotherapy, Pllc | |
1901 Central Dr Ste 812 Bedford TX 76021-5858 | |
(817) 874-8169 | |
Not Available |
Full Name | Let It Rain Psychotherapy, Pllc |
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Speciality | Social Worker |
Location | 1901 Central Dr Ste 812, Bedford, Texas |
Authorized Official Name and Position | Rayne Lynette Ventimiglia (OWNER) |
Authorized Official Contact | 8178748169 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Let It Rain Psychotherapy, Pllc 1611 Pheasant Ln Southlake TX 76092-3436 Ph: () - | Let It Rain Psychotherapy, Pllc 1901 Central Dr Ste 812 Bedford TX 76021-5858 Ph: (817) 874-8169 |
NPI Number | 1821598566 |
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Provider Enumeration Date | 02/20/2018 |
Last Update Date | 08/05/2021 |
Certification Date | 08/05/2021 |
Medicare PECOS PAC ID | 8527329606 |
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Medicare Enrollment ID | O20180306002585 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821598566 | NPI | - | NPPES |
1720441017 | Other | TX | NPI |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 53329 (Texas) | Primary |
Provider Name | Rayne Ventimiglia |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720441017 PECOS PAC ID: 9436410511 Enrollment ID: I20180306002754 |
Provider Name | Sarah Billingsley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770157174 PECOS PAC ID: 4183024573 Enrollment ID: I20210607000569 |
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