| New Leaf Mental Health Pllc | |
|
5460 Paredes Line Rd Ste 206 Brownsville TX 78526-9741 | |
| (956) 545-7330 | |
| Not Available |
| Full Name | New Leaf Mental Health Pllc |
|---|---|
| Speciality | Counselor |
| Location | 5460 Paredes Line Rd Ste 206, Brownsville, Texas |
| Authorized Official Name and Position | Michelle Burkott (CO OWNER) |
| Authorized Official Contact | 9565457330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Mental Health Pllc 5460 Paredes Line Rd Ste 206 Brownsville TX 78526-9741 Ph: (956) 545-7330 | New Leaf Mental Health Pllc 5460 Paredes Line Rd Ste 206 Brownsville TX 78526-9741 Ph: (956) 545-7330 |
| NPI Number | 1528755238 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/20/2023 |
| Medicare PECOS PAC ID | 7214379460 |
|---|---|
| Medicare Enrollment ID | O20240520003765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528755238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nikole Gutierrez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972042729 PECOS PAC ID: 8123460375 Enrollment ID: I20240520003787 |
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