Multicultural Behavioral Health Of Texas | |
8101 Shin Oak Dr Apt 6116 Live Oak TX 78233-2479 | |
(864) 516-9619 | |
Not Available |
Full Name | Multicultural Behavioral Health Of Texas |
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Speciality | Psychologist |
Location | 8101 Shin Oak Dr Apt 6116, Live Oak, Texas |
Authorized Official Name and Position | Ghian Fhillipe Pieraldi (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 8645169619 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Multicultural Behavioral Health Of Texas 8101 Shin Oak Dr Apt 6116 Live Oak TX 78233-2479 Ph: (864) 516-9619 | Multicultural Behavioral Health Of Texas 8101 Shin Oak Dr Apt 6116 Live Oak TX 78233-2479 Ph: (864) 516-9619 |
NPI Number | 1053095075 |
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Provider Enumeration Date | 06/12/2023 |
Last Update Date | 06/12/2023 |
Certification Date | 06/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053095075 | NPI | - | NPPES |
15085112997 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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