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5293 S 31st St Ste 137 Temple TX 76502-3575 | |
| (254) 228-5830 | |
| (254) 598-2537 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 5293 S 31st St Ste 137, Temple, Texas |
| Authorized Official Name and Position | Charles Thielepape (OWNER) |
| Authorized Official Contact | 2542285830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5293 S 31st St Ste 137 Temple TX 76502-3575 Ph: (254) 228-5830 | 5293 S 31st St Ste 137 Temple TX 76502-3575 Ph: (254) 228-5830 |
| NPI Number | 1356779706 |
|---|---|
| Provider Enumeration Date | 10/22/2013 |
| Last Update Date | 08/17/2021 |
| Certification Date | 08/17/2021 |
| Medicare PECOS PAC ID | 6901135557 |
|---|---|
| Medicare Enrollment ID | O20190909000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356779706 | NPI | - | NPPES |
| 1356779706 | Other | TX | NPI |
| 409273601 | Medicaid | TX |
| Provider Name | Velma J Muller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013957653 PECOS PAC ID: 1254335912 Enrollment ID: I20060912000062 |
| Provider Name | Cynthia M Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740292705 PECOS PAC ID: 4789656018 Enrollment ID: I20090316000232 |
| Provider Name | Daniel Cruz-laureano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588816763 PECOS PAC ID: 1759448434 Enrollment ID: I20101213000365 |
| Provider Name | Karen Mckenzie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932612009 PECOS PAC ID: 8921366972 Enrollment ID: I20171220001227 |
| Provider Name | Alisa Lee Heald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922310259 PECOS PAC ID: 3072925874 Enrollment ID: I20201221001482 |
| Provider Name | Robert Gallegos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366816803 PECOS PAC ID: 2264884832 Enrollment ID: I20240118004011 |
| Provider Name | Brittany Hudnall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467192765 PECOS PAC ID: 4981141942 Enrollment ID: I20240808000326 |
| Provider Name | Laura Lanford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689302507 PECOS PAC ID: 6406393461 Enrollment ID: I20240808000473 |
| Provider Name | Jermaine Rogalski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821705617 PECOS PAC ID: 9537606504 Enrollment ID: I20240808000682 |
| Provider Name | Keila B Togami |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609544568 PECOS PAC ID: 2860925914 Enrollment ID: I20241028001655 |
| Provider Name | Chris Langley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326563149 PECOS PAC ID: 1759814817 Enrollment ID: I20241028002212 |
| Provider Name | Nikita Tate-casanova |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1770270621 PECOS PAC ID: 3779016845 Enrollment ID: I20241028002679 |
| Provider Name | Susan Barshop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073719670 PECOS PAC ID: 3971036054 Enrollment ID: I20241028003084 |
| Provider Name | Eleanor Hamilton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568403020 PECOS PAC ID: 6901106954 Enrollment ID: I20241028003293 |
| Provider Name | Tammy Bond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184132805 PECOS PAC ID: 7618401282 Enrollment ID: I20241106000511 |
Momentum Behavioral Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3810 Twilight Dr, Temple, TX 76502 Phone: 254-791-9629 | |
Contour Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2027 S 61st St Ste 121, Temple, TX 76504 Phone: 254-892-4991 | |
Central Texas Veterans Healthcare System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5105 Waterford Dr, Temple, TX 76502 Phone: 254-220-9456 Fax: 254-743-0178 | |
Barker Jackson & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Marlandwood Rd, 8207, Temple, TX 76502 Phone: 512-638-2366 | |
Aspiring Minds Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3320 Pecan Valley Dr Ste G, Temple, TX 76502 Phone: 254-444-1535 | |