| Logos Services Llc | |
|
5751 Kroger Dr Ste 237 Keller TX 76248-5532 | |
| (817) 812-2880 | |
| (818) 812-3096 |
| Full Name | Logos Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5751 Kroger Dr, Keller, Texas |
| Authorized Official Name and Position | Jason Todd Baker (OWNER/COUNSELOR) |
| Authorized Official Contact | 8178122880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Logos Services Llc 5751 Kroger Dr Ste 237 Keller TX 76248-5532 Ph: (817) 812-2880 | Logos Services Llc 5751 Kroger Dr Ste 237 Keller TX 76248-5532 Ph: (817) 812-2880 |
| NPI Number | 1881852952 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Medicare PECOS PAC ID | 3476804519 |
|---|---|
| Medicare Enrollment ID | O20180928000545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881852952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 17529 (Texas) | Primary |
| Provider Name | Gay S Kelso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962611459 PECOS PAC ID: 3375894413 Enrollment ID: I20180928000612 |
| Provider Name | Stacy Strassmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336530963 PECOS PAC ID: 5496192197 Enrollment ID: I20240318000734 |
| Provider Name | Gary Scott Baas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811274541 PECOS PAC ID: 8921447806 Enrollment ID: I20240412000405 |
| Provider Name | Kristy Meador |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487293551 PECOS PAC ID: 3678913548 Enrollment ID: I20240426000032 |
| Provider Name | Caroline Ahls |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164844585 PECOS PAC ID: 5193166296 Enrollment ID: I20240507002330 |
| Provider Name | Dianna Clayton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275993982 PECOS PAC ID: 6800237371 Enrollment ID: I20240515001080 |
| Provider Name | Ashley Applewhite |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174055222 PECOS PAC ID: 5698116093 Enrollment ID: I20240516001753 |
| Provider Name | Diana Gale Ham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770093718 PECOS PAC ID: 3577905793 Enrollment ID: I20240520002826 |
| Provider Name | Sarah Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306500608 PECOS PAC ID: 6406398619 Enrollment ID: I20240603004199 |
| Provider Name | Colleen T Velasco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700333572 PECOS PAC ID: 5092257923 Enrollment ID: I20240607000098 |
| Provider Name | Jason Todd Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891703096 PECOS PAC ID: 4385995422 Enrollment ID: I20240612000541 |
| Provider Name | Jennifer Marie Long |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235502378 PECOS PAC ID: 1456894633 Enrollment ID: I20240616000109 |
| Provider Name | Lauren Ashley Lopez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1952889644 PECOS PAC ID: 3274070990 Enrollment ID: I20240731000106 |
| Provider Name | Elizabeth Ann Contreras |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134244999 PECOS PAC ID: 8921546557 Enrollment ID: I20240814002821 |
| Provider Name | Vicky Ann Keller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013344712 PECOS PAC ID: 6608315684 Enrollment ID: I20240822002976 |
| Provider Name | Chad Scoggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700621711 PECOS PAC ID: 5092255448 Enrollment ID: I20240911004137 |
| Provider Name | Jason H Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932439015 PECOS PAC ID: 8123559317 Enrollment ID: I20240928000037 |
| Provider Name | Robin Ray Whitehead |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770318859 PECOS PAC ID: 4880128727 Enrollment ID: I20241114001209 |
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