| On Site Counseling Of Texas, Llc. | |
|
3007 Caroline St Houston TX 77004-2822 | |
| (713) 528-2328 | |
| (713) 533-1408 |
| Full Name | On Site Counseling Of Texas, Llc. |
|---|---|
| Speciality | Psychologist |
| Location | 3007 Caroline St, Houston, Texas |
| Authorized Official Name and Position | Troy L. Marsaw (PRES/CEO) |
| Authorized Official Contact | 1375282328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On Site Counseling Of Texas, Llc. 3007 Caroline St Houston TX 77004-2822 Ph: (713) 528-2328 | On Site Counseling Of Texas, Llc. 3007 Caroline St Houston TX 77004-2822 Ph: (713) 528-2328 |
| NPI Number | 1386277994 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 02/21/2020 |
| Certification Date | 02/21/2020 |
| Medicare PECOS PAC ID | 7416376298 |
|---|---|
| Medicare Enrollment ID | O20200928002417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386277994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Marilyn J Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265501050 PECOS PAC ID: 8820059942 Enrollment ID: I20041022000112 |
| Provider Name | Iesha Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275709412 PECOS PAC ID: 4385791599 Enrollment ID: I20090403000456 |
| Provider Name | Tomasita Espinosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477669729 PECOS PAC ID: 8820255227 Enrollment ID: I20120213000269 |
| Provider Name | Tyesha Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578877007 PECOS PAC ID: 2668779406 Enrollment ID: I20160323000051 |
| Provider Name | Dahl A Rollins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326570342 PECOS PAC ID: 9739454216 Enrollment ID: I20171010000294 |
| Provider Name | Kia D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265081707 PECOS PAC ID: 0840629077 Enrollment ID: I20200408004693 |
| Provider Name | Onyi Obinna Duruji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609409655 PECOS PAC ID: 2567889595 Enrollment ID: I20200904000294 |
| Provider Name | Chantell Hebert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265889836 PECOS PAC ID: 4880064286 Enrollment ID: I20221229001316 |
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