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1300 Park St Ste 5 Commerce TX 75428-2647 | |
| (830) 400-7037 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 1300 Park St Ste 5, Commerce, Texas |
| Authorized Official Name and Position | Kayla Mainja (FOUNDER) |
| Authorized Official Contact | 8304007037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
18383 Preston Rd # 404 Dallas TX 75252-5476 Ph: (830) 400-7037 | 1300 Park St Ste 5 Commerce TX 75428-2647 Ph: (830) 400-7037 |
| NPI Number | 1497111306 |
|---|---|
| Provider Enumeration Date | 01/07/2016 |
| Last Update Date | 01/10/2025 |
| Certification Date | 01/10/2025 |
| Medicare PECOS PAC ID | 6608239355 |
|---|---|
| Medicare Enrollment ID | O20230828002975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497111306 | NPI | - | NPPES |
| Provider Name | Kayla Monique Mainja |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588351340 PECOS PAC ID: 5092171371 Enrollment ID: I20230510003617 |
| Provider Name | Joel Lynn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790397487 PECOS PAC ID: 3779921135 Enrollment ID: I20240403004061 |
Center For Counseling And Wellbeing Of Northeast Texas Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 King Plz Ste D, Commerce, TX 75428 Phone: 903-375-0048 Fax: 903-246-3126 | |
Practical Wisdom Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 King Plz Ste D, Commerce, TX 75428 Phone: 214-714-8021 |