| Marian Redsun, Therapy | |
|
15356 Legacy Park Way Magnolia TX 77354-7182 | |
| (832) 510-0373 | |
| Not Available |
| Full Name | Marian Redsun, Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 15356 Legacy Park Way, Magnolia, Texas |
| Authorized Official Name and Position | Marian Redsun (OWNER) |
| Authorized Official Contact | 8325100373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marian Redsun, Therapy 15356 Legacy Park Way Magnolia TX 77354-7182 Ph: (832) 510-0373 | Marian Redsun, Therapy 15356 Legacy Park Way Magnolia TX 77354-7182 Ph: (832) 510-0373 |
| NPI Number | 1881460848 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 02/07/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 2567802770 |
|---|---|
| Medicare Enrollment ID | O20240503002365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881460848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marian Redsun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427685353 PECOS PAC ID: 6800210519 Enrollment ID: I20200727003676 |
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