| Next Steps Professional Counseling Services, Llc | |
|
101 S Jennings Ave Unit 203 Fort Worth TX 76104-1112 | |
| (682) 250-0988 | |
| (682) 318-1161 |
| Full Name | Next Steps Professional Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 101 S Jennings Ave Unit 203, Fort Worth, Texas |
| Authorized Official Name and Position | Adris Moffett (CEO) |
| Authorized Official Contact | 6822500988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Next Steps Professional Counseling Services, Llc Po Box 414 Haslet TX 76052-5859 Ph: (682) 282-4228 | Next Steps Professional Counseling Services, Llc 101 S Jennings Ave Unit 203 Fort Worth TX 76104-1112 Ph: (682) 250-0988 |
| NPI Number | 1326650755 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/07/2021 |
| Medicare PECOS PAC ID | 3870912181 |
|---|---|
| Medicare Enrollment ID | O20201005002739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326650755 | NPI | - | NPPES |
| Provider Name | Adris Moffett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346603164 PECOS PAC ID: 4789003096 Enrollment ID: I20201005002779 |
| Provider Name | Keysha L Madison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972228823 PECOS PAC ID: 2062880883 Enrollment ID: I20221128002292 |
| Provider Name | Candace Cooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528615689 PECOS PAC ID: 5496104564 Enrollment ID: I20231214001501 |
| Provider Name | Dinesh Shrestha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952021966 PECOS PAC ID: 6406222637 Enrollment ID: I20240311001244 |
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