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3500 Hillcrest Dr Ste 8 Waco TX 76708-3144 | |
(254) 262-3506 | |
(254) 262-3506 |
Full Name | |
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Speciality | Counselor |
Location | 3500 Hillcrest Dr Ste 8, Waco, Texas |
Authorized Official Name and Position | Barbara Carter (CREDENTIALING MANAGER) |
Authorized Official Contact | 2147258062 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3500 Hillcrest Dr Ste 8 Waco TX 76708-3144 Ph: (254) 848-6284 | 3500 Hillcrest Dr Ste 8 Waco TX 76708-3144 Ph: (254) 262-3506 |
NPI Number | 1235620568 |
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Provider Enumeration Date | 05/22/2018 |
Last Update Date | 03/05/2024 |
Certification Date | 03/05/2024 |
Medicare PECOS PAC ID | 1658724810 |
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Medicare Enrollment ID | O20240124003192 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235620568 | NPI | - | NPPES |
391171101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 63523 (Texas) | Primary |
Provider Name | Jason Paul Wilson |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1639948334 PECOS PAC ID: 2860844362 Enrollment ID: I20240119004015 |
Provider Name | Clinton Dennard |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1386908333 PECOS PAC ID: 7315399797 Enrollment ID: I20240122002312 |
Provider Name | Kristy M Donaldson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1871867176 PECOS PAC ID: 9739532995 Enrollment ID: I20240124003348 |
Provider Name | Heather Noel Carey |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1760121966 PECOS PAC ID: 4880047760 Enrollment ID: I20240126002063 |
Provider Name | John Willis Ward |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1497427868 PECOS PAC ID: 6103269469 Enrollment ID: I20240205000365 |
Provider Name | Whitney Nicole Posey |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1306500319 PECOS PAC ID: 3870036841 Enrollment ID: I20240618003472 |
Provider Name | Sierra Jade Eary |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1275351629 PECOS PAC ID: 0042742561 Enrollment ID: I20241022001416 |
Enrichment Training And Counseling Solutions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6600 Sanger Ave, Suite 12, Waco, TX 76710 Phone: 254-235-3500 | |
Dr.jonas Moen P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W Hwy 6 Suite 100, Waco, TX 76712 Phone: 254-776-0026 | |
Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 | |
Greater Waco Counseling & Wellness, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6801 Sanger Ave, Waco, TX 76710 Phone: 254-304-9309 | |
Heart Of Texas Region Mental Health Mental Retardation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 |