| Plenitude Wellness And Counseling Pllc | |
|
18383 Preston Rd Ste 202 Dallas TX 75252-5487 | |
| (972) 638-9374 | |
| Not Available |
| Full Name | Plenitude Wellness And Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 18383 Preston Rd Ste 202, Dallas, Texas |
| Authorized Official Name and Position | Aline Lourenco (OWNER) |
| Authorized Official Contact | 9726389374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plenitude Wellness And Counseling Pllc 18383 Preston Rd Ste 202 Dallas TX 75252-5487 Ph: (972) 638-9374 | Plenitude Wellness And Counseling Pllc 18383 Preston Rd Ste 202 Dallas TX 75252-5487 Ph: (972) 638-9374 |
| NPI Number | 1639930928 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 1850737354 |
|---|---|
| Medicare Enrollment ID | O20240306003781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639930928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Aline Cristina Lourenco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548032436 PECOS PAC ID: 2769828268 Enrollment ID: I20240306003977 |
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