New Patterns Of Perception Llc | |
4217 Altamesa Blvd Fort Worth TX 76133-5401 | |
(972) 430-1006 | |
(972) 833-1006 |
Full Name | New Patterns Of Perception Llc |
---|---|
Speciality | Counselor |
Location | 4217 Altamesa Blvd, Fort Worth, Texas |
Authorized Official Name and Position | Kurt Billups (MANAGER) |
Authorized Official Contact | 9724306706 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
New Patterns Of Perception Llc 4217 Altamesa Blvd Fort Worth TX 76133-5401 Ph: (972) 430-6706 | New Patterns Of Perception Llc 4217 Altamesa Blvd Fort Worth TX 76133-5401 Ph: (972) 430-1006 |
NPI Number | 1053071548 |
---|---|
Provider Enumeration Date | 12/23/2021 |
Last Update Date | 12/23/2021 |
Certification Date | 12/23/2021 |
Medicare PECOS PAC ID | 4284071846 |
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Medicare Enrollment ID | O20240319002825 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053071548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
Provider Name | Kurt Billups |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1720564768 PECOS PAC ID: 5193162758 Enrollment ID: I20240319002929 |
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