| Mesquite Psychotherapy And Consulting Pllc | |
|
800 Clearwell St Cedar Park TX 78613-2487 | |
| (512) 730-9383 | |
| Not Available |
| Full Name | Mesquite Psychotherapy And Consulting Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 800 Clearwell St, Cedar Park, Texas |
| Authorized Official Name and Position | Meya Srithapin (MANAGING MEMBER) |
| Authorized Official Contact | 5127309383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesquite Psychotherapy And Consulting Pllc 800 Clearwell St Cedar Park TX 78613-2487 Ph: () - | Mesquite Psychotherapy And Consulting Pllc 800 Clearwell St Cedar Park TX 78613-2487 Ph: (512) 730-9383 |
| NPI Number | 1295484707 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/22/2022 |
| Certification Date | 03/22/2022 |
| Medicare PECOS PAC ID | 5395131999 |
|---|---|
| Medicare Enrollment ID | O20220407001626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295484707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marisela Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275135444 PECOS PAC ID: 8820498959 Enrollment ID: I20210611000552 |
| Provider Name | Meya Srithapin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902350739 PECOS PAC ID: 4880087691 Enrollment ID: I20220131000494 |
| Provider Name | Christine Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982263869 PECOS PAC ID: 9436544582 Enrollment ID: I20220412002650 |
| Provider Name | Lisa Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760958458 PECOS PAC ID: 6002283389 Enrollment ID: I20221028001493 |
| Provider Name | Charles A Yates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417965864 PECOS PAC ID: 4385013341 Enrollment ID: I20221213003226 |
| Provider Name | Dena Nicole Edmondson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972272425 PECOS PAC ID: 1254799729 Enrollment ID: I20230615002725 |
| Provider Name | Sherri-ann Shanique Deans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831864248 PECOS PAC ID: 6305207598 Enrollment ID: I20230803004087 |
| Provider Name | Roxanna Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245926963 PECOS PAC ID: 7911361795 Enrollment ID: I20230912003090 |
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