New Hope Counsleing Center | |
1127 Main St Ste 100 Kerrville TX 78028-3581 | |
(830) 257-3009 | |
Not Available |
Full Name | New Hope Counsleing Center |
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Speciality | Counselor |
Location | 1127 Main St Ste 100, Kerrville, Texas |
Authorized Official Name and Position | Brenda Fudge (DIRECTOR) |
Authorized Official Contact | 8302573009 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Hope Counsleing Center 1127 Main St Ste 100 Kerrville TX 78028-3581 Ph: (830) 257-3009 | New Hope Counsleing Center 1127 Main St Ste 100 Kerrville TX 78028-3581 Ph: (830) 257-3009 |
NPI Number | 1366440737 |
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Provider Enumeration Date | 07/11/2005 |
Last Update Date | 02/12/2019 |
Medicare PECOS PAC ID | 1456309970 |
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Medicare Enrollment ID | O20050111000396 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366440737 | NPI | - | NPPES |
0037GT | Other | TX | BLUE CROSS BLUE SHIELD |
171632601 | Medicaid | TX | |
7636153 | Other | TX | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 18662 (Texas) | Primary |
Provider Name | Patricia Jane Prather |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891072211 PECOS PAC ID: 0446426571 Enrollment ID: I20111220000563 |
Provider Name | Wanda L Sutton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669925202 PECOS PAC ID: 8325325376 Enrollment ID: I20170501001554 |
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