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11719 Bee Caves Rd Ste 200 Bee Cave TX 78738-5540 | |
(737) 301-8668 | |
Not Available |
Full Name | |
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Speciality | Counselor |
Location | 11719 Bee Caves Rd Ste 200, Bee Cave, Texas |
Authorized Official Name and Position | Rebecca R Opamen (CLINIC DIRECTOR) |
Authorized Official Contact | 5126300567 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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11719 Bee Caves Rd Ste 200 Bee Cave TX 78738-5540 Ph: (737) 301-9007 | 11719 Bee Caves Rd Ste 200 Bee Cave TX 78738-5540 Ph: (737) 301-8668 |
NPI Number | 1053048033 |
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Provider Enumeration Date | 08/01/2022 |
Last Update Date | 02/16/2024 |
Certification Date | 01/29/2024 |
Medicare PECOS PAC ID | 7618413204 |
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Medicare Enrollment ID | O20240718004041 |
Identifier | Type | State | Issuer |
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1053048033 | NPI | - | NPPES |
1467060244 | Medicaid | TX |
Provider Name | Bonnie S Morphew |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134234727 PECOS PAC ID: 9830341809 Enrollment ID: I20170112000262 |
Provider Name | Lacie Jo Hamilton |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1700371648 PECOS PAC ID: 1153867742 Enrollment ID: I20240718004246 |
Provider Name | Emily J Sousa |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1376041350 PECOS PAC ID: 3274071816 Enrollment ID: I20240814003417 |
Provider Name | Peggy Marie Hanna |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1255192217 PECOS PAC ID: 8224576772 Enrollment ID: I20240814004018 |
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