| Mindset Counseling Group, Pllc | |
|
2301 Clear Creek Rd Ste 206 Killeen TX 76549-4119 | |
| (254) 987-5150 | |
| Not Available |
| Full Name | Mindset Counseling Group, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2301 Clear Creek Rd Ste 206, Killeen, Texas |
| Authorized Official Name and Position | John Avritt (LPC) |
| Authorized Official Contact | 3462254740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindset Counseling Group, Pllc 2301 Clear Creek Rd Ste 206 Killeen TX 76549-4119 Ph: (346) 225-4740 | Mindset Counseling Group, Pllc 2301 Clear Creek Rd Ste 206 Killeen TX 76549-4119 Ph: (254) 987-5150 |
| NPI Number | 1760114219 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 4082052212 |
|---|---|
| Medicare Enrollment ID | O20240405002244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760114219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | John T Avritt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336715259 PECOS PAC ID: 9830537935 Enrollment ID: I20240409003080 |
| Provider Name | Tiffany C Breaux Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881174902 PECOS PAC ID: 8921448184 Enrollment ID: I20240504000243 |
| Provider Name | Shannon Rodrigue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023710993 PECOS PAC ID: 8123561578 Enrollment ID: I20240613003793 |
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