| Our Good Life, Pllc | |
|
24200 Via Mazzini Way Suite 250 Richmond TX 77406 | |
| (832) 810-2258 | |
| Not Available |
| Full Name | Our Good Life, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 24200 Via Mazzini Way, Richmond, Texas |
| Authorized Official Name and Position | April Davis (OWNER) |
| Authorized Official Contact | 8329294445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Good Life, Pllc 7117 County Road 684 Sweeny TX 77480-7079 Ph: (832) 929-4445 | Our Good Life, Pllc 24200 Via Mazzini Way Suite 250 Richmond TX 77406 Ph: (832) 810-2258 |
| NPI Number | 1609567023 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/03/2023 |
| Medicare PECOS PAC ID | 4183062789 |
|---|---|
| Medicare Enrollment ID | O20240402001281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609567023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | April L Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982192829 PECOS PAC ID: 0446698047 Enrollment ID: I20240402001490 |
| Provider Name | Mekiela Dorough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780355537 PECOS PAC ID: 4789022849 Enrollment ID: I20240409001734 |
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