| Mental Wellness Services, Pc | |
|
505 N Sam Houston Pkwy E Suite 502 Houston TX 77060-4018 | |
| (281) 447-9355 | |
| (281) 447-9356 |
| Full Name | Mental Wellness Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 505 N Sam Houston Pkwy E, Houston, Texas |
| Authorized Official Name and Position | Rosell L. Jenkins (PRESIDENT) |
| Authorized Official Contact | 2814479355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Wellness Services, Pc 505 N Sam Houston Pkwy E Suite 502 Houston TX 77060-4018 Ph: (281) 447-9355 | Mental Wellness Services, Pc 505 N Sam Houston Pkwy E Suite 502 Houston TX 77060-4018 Ph: (281) 447-9355 |
| NPI Number | 1053514463 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 11/30/2007 |
| Medicare PECOS PAC ID | 1557449907 |
|---|---|
| Medicare Enrollment ID | O20080424000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053514463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 31916 (Texas) | Primary |
| Provider Name | Rosell L Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558307736 PECOS PAC ID: 4284692260 Enrollment ID: I20041222000056 |
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