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667 Arroyo Sierra New Braunfels TX 78130-0190 | |
| (830) 660-1006 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 667 Arroyo Sierra, New Braunfels, Texas |
| Authorized Official Name and Position | Ana A Potthast (OWNER) |
| Authorized Official Contact | 2105084688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
667 Arroyo Sierra New Braunfels TX 78130-0190 Ph: (830) 660-1006 | 667 Arroyo Sierra New Braunfels TX 78130-0190 Ph: (830) 660-1006 |
| NPI Number | 1366199820 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 8325423437 |
|---|---|
| Medicare Enrollment ID | O20220909001622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366199820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ana Alicia Amoricity Potthast |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609462480 PECOS PAC ID: 5395137350 Enrollment ID: I20220125000604 |
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