| Peak Mind Consulting S Corp | |
|
156 Spring Meadow Dr Springtown TX 76082-1140 | |
| (636) 699-3015 | |
| (719) 203-4485 |
| Full Name | Peak Mind Consulting S Corp |
|---|---|
| Speciality | Psychologist |
| Location | 156 Spring Meadow Dr, Springtown, Texas |
| Authorized Official Name and Position | Emily B Rademan (OPERATIONS MANAGER) |
| Authorized Official Contact | 7193576462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Mind Consulting S Corp 156 Spring Meadow Dr Springtown TX 76082-1140 Ph: (636) 699-3015 | Peak Mind Consulting S Corp 156 Spring Meadow Dr Springtown TX 76082-1140 Ph: (636) 699-3015 |
| NPI Number | 1376070805 |
|---|---|
| Provider Enumeration Date | 05/15/2017 |
| Last Update Date | 11/03/2024 |
| Certification Date | 11/03/2024 |
| Medicare PECOS PAC ID | 2668743105 |
|---|---|
| Medicare Enrollment ID | O20170802001717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376070805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4289 (Colorado) | Primary |
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