| Living Tree New Braunfels Counseling Center Pllc | |
|
1067 Fm 306 Ste 402 New Braunfels TX 78130-6895 | |
| (281) 925-7780 | |
| Not Available |
| Full Name | Living Tree New Braunfels Counseling Center Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1067 Fm 306 Ste 402, New Braunfels, Texas |
| Authorized Official Name and Position | Shirley A Nedock (SOLE MBR) |
| Authorized Official Contact | 2527641154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Tree New Braunfels Counseling Center Pllc 252 Mistflower New Braunfels TX 78130-5176 Ph: (281) 925-7780 | Living Tree New Braunfels Counseling Center Pllc 1067 Fm 306 Ste 402 New Braunfels TX 78130-6895 Ph: (281) 925-7780 |
| NPI Number | 1912466608 |
|---|---|
| Provider Enumeration Date | 03/13/2019 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Medicare PECOS PAC ID | 3678014420 |
|---|---|
| Medicare Enrollment ID | O20240919002038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912466608 | NPI | - | NPPES |
| 1942586508 | Medicaid | NC |
| Provider Name | Shirley Nedock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942586508 PECOS PAC ID: 4587105333 Enrollment ID: I20241014001181 |
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