| Marked For Grace Counseling Center | |
|
4209 W Waco Dr Ste 4 Waco TX 76710-7111 | |
| (469) 669-2726 | |
| Not Available |
| Full Name | Marked For Grace Counseling Center |
|---|---|
| Speciality | Social Worker |
| Location | 4209 W Waco Dr Ste 4, Waco, Texas |
| Authorized Official Name and Position | Christy Daniel (OWNER) |
| Authorized Official Contact | 4698672301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marked For Grace Counseling Center 4209 W Waco Dr Ste 4 Waco TX 76710-7111 Ph: (469) 669-2726 | Marked For Grace Counseling Center 4209 W Waco Dr Ste 4 Waco TX 76710-7111 Ph: (469) 669-2726 |
| NPI Number | 1225889074 |
|---|---|
| Provider Enumeration Date | 03/29/2024 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Medicare PECOS PAC ID | 6608310719 |
|---|---|
| Medicare Enrollment ID | O20240701001263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225889074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christy Daniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790350569 PECOS PAC ID: 8325582430 Enrollment ID: I20240701001834 |
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