| Principal Counseling, Llc | |
|
9153 Belshire Dr Ste 140 North Richland Hills TX 76182-7691 | |
| (817) 983-4141 | |
| Not Available |
| Full Name | Principal Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9153 Belshire Dr Ste 140, North Richland Hills, Texas |
| Authorized Official Name and Position | Yolanda Michelene Fraser (OWNER/PRIMARY CLINICIAN) |
| Authorized Official Contact | 8179834141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Principal Counseling, Llc 4329 Silverwood Trl Fort Worth TX 76244-4961 Ph: () - | Principal Counseling, Llc 9153 Belshire Dr Ste 140 North Richland Hills TX 76182-7691 Ph: (817) 983-4141 |
| NPI Number | 1184396475 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Medicare PECOS PAC ID | 7618361411 |
|---|---|
| Medicare Enrollment ID | O20220221001258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184396475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Yolanda M Fraser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790037711 PECOS PAC ID: 2769468735 Enrollment ID: I20180219001783 |
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