| Nightingale Counseling And Clinical Consultation Services, Llc | |
|
4425 W Airport Fwy Ste 149 Irving TX 75062-5850 | |
| (972) 765-2606 | |
| Not Available |
| Full Name | Nightingale Counseling And Clinical Consultation Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4425 W Airport Fwy Ste 149, Irving, Texas |
| Authorized Official Name and Position | Aletha Raechelle Mathis (MANAGING MEMBER) |
| Authorized Official Contact | 9727652606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nightingale Counseling And Clinical Consultation Services, Llc 4425 W Airport Fwy Ste 149 Irving TX 75062-5850 Ph: (972) 765-2606 | Nightingale Counseling And Clinical Consultation Services, Llc 4425 W Airport Fwy Ste 149 Irving TX 75062-5850 Ph: (972) 765-2606 |
| NPI Number | 1982257713 |
|---|---|
| Provider Enumeration Date | 07/21/2019 |
| Last Update Date | 07/21/2019 |
| Medicare PECOS PAC ID | 4688903115 |
|---|---|
| Medicare Enrollment ID | O20190910000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982257713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Aletha R Cobbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609340421 PECOS PAC ID: 0345580098 Enrollment ID: I20190318000528 |
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