| Mindcare Therapeutic Solutions | |
|
526 County Road 4711 Kempner TX 76539-5873 | |
| (254) 319-2563 | |
| Not Available |
| Full Name | Mindcare Therapeutic Solutions |
|---|---|
| Speciality | Clinic/Center |
| Location | 526 County Road 4711, Kempner, Texas |
| Authorized Official Name and Position | Timmie P Harness Sr. (OWNER/ COUNSELOR) |
| Authorized Official Contact | 2543192563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindcare Therapeutic Solutions 526 County Road 4711 Kempner TX 76539-5873 Ph: (254) 319-2563 | Mindcare Therapeutic Solutions 526 County Road 4711 Kempner TX 76539-5873 Ph: (254) 319-2563 |
| NPI Number | 1639905839 |
|---|---|
| Provider Enumeration Date | 09/12/2024 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 4183165004 |
|---|---|
| Medicare Enrollment ID | O20240919000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639905839 | NPI | - | NPPES |
| Provider Name | Timmie Prince Harness |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437614237 PECOS PAC ID: 5092256917 Enrollment ID: I20240919000562 |
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