| Minor To Major Llc | |
|
11811 North Fwy Ste 500 Houston TX 77060-3287 | |
| (210) 612-0272 | |
| Not Available |
| Full Name | Minor To Major Llc |
|---|---|
| Speciality | Counselor |
| Location | 11811 North Fwy Ste 500, Houston, Texas |
| Authorized Official Name and Position | Jeremy Jermel Rankins (OWNER/MANAGING MEMBER) |
| Authorized Official Contact | 2106120272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minor To Major Llc 11811 North Fwy Ste 500 Houston TX 77060-3287 Ph: (210) 612-0272 | Minor To Major Llc 11811 North Fwy Ste 500 Houston TX 77060-3287 Ph: (210) 612-0272 |
| NPI Number | 1528680253 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 05/15/2020 |
| Certification Date | 05/15/2020 |
| Medicare PECOS PAC ID | 5496297525 |
|---|---|
| Medicare Enrollment ID | O20240605000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528680253 | NPI | - | NPPES |
| Provider Name | Jeremy Jermel Rankins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558908327 PECOS PAC ID: 6305388430 Enrollment ID: I20240605001323 |
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