| Pearl Counseling Pllc | |
|
2300 George Dieter Dr El Paso TX 79936-3963 | |
| (915) 861-5065 | |
| (915) 975-8304 |
| Full Name | Pearl Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2300 George Dieter Dr, El Paso, Texas |
| Authorized Official Name and Position | Bianca M Balderrama (OWNER) |
| Authorized Official Contact | 9158615065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Counseling Pllc 3233 Derby Point Dr El Paso TX 79938-1500 Ph: (915) 861-5065 | Pearl Counseling Pllc 2300 George Dieter Dr El Paso TX 79936-3963 Ph: (915) 861-5065 |
| NPI Number | 1497519581 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Medicare PECOS PAC ID | 2163861915 |
|---|---|
| Medicare Enrollment ID | O20240412003909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497519581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Bianca M Balderrama |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447738687 PECOS PAC ID: 3072952829 Enrollment ID: I20240412003969 |
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