| Mindful Momentum Counseling Services Pllc | |
|
12222 Merit Dr Ste 130 Dallas TX 75251-3236 | |
| (254) 419-4190 | |
| Not Available |
| Full Name | Mindful Momentum Counseling Services Pllc |
|---|---|
| Speciality | Counselor |
| Location | 12222 Merit Dr Ste 130, Dallas, Texas |
| Authorized Official Name and Position | Candice Lenora Smith (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2544194190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Momentum Counseling Services Pllc 12222 Merit Dr Ste 130 Dallas TX 75251-3236 Ph: (254) 419-4190 | Mindful Momentum Counseling Services Pllc 12222 Merit Dr Ste 130 Dallas TX 75251-3236 Ph: (254) 419-4190 |
| NPI Number | 1366298051 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 9234571951 |
|---|---|
| Medicare Enrollment ID | O20240528000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366298051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Candice Lenora Smith |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1649975855 PECOS PAC ID: 0143662866 Enrollment ID: I20240528001222 |
Metrocare Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 River Bend Dr, Dallas, TX 75247 Phone: 214-743-6159 | |
Lifenet Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9708 Skillman St, Dallas, TX 75243 Phone: 214-221-5433 Fax: 214-932-1977 | |
Eric B. Williams, Md, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12801 N Central Expy Ste 350, Dallas, TX 75243 Phone: 214-702-5336 Fax: 972-773-9843 | |
Bienstar Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13140 Coit Rd Ste 326, Dallas, TX 75240 Phone: 214-682-7842 | |
Howdy Pediatrics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 539 W Commerce St Ste 608, Dallas, TX 75208 Phone: 214-494-0448 Fax: 210-547-2046 | |
Lucienne Cohen Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4007 Bowser Ave Apt E, Dallas, TX 75219 Phone: 617-823-3007 | |
Developmental Pathways Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 N Saint Paul St Ste 3100, Dallas, TX 75201 Phone: 214-432-3777 Fax: 800-434-3012 |