| Proginosko Behavioral Health & Wellness, Llc | |
|
5415 N Mccoll Rd Ste 105 Mcallen TX 78504-4664 | |
| (956) 570-5110 | |
| (956) 679-3040 |
| Full Name | Proginosko Behavioral Health & Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5415 N Mccoll Rd Ste 105, Mcallen, Texas |
| Authorized Official Name and Position | Quickson Ndlovu (OWNER) |
| Authorized Official Contact | 9565705110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proginosko Behavioral Health & Wellness, Llc Po Box 4796 Mcallen TX 78502-4796 Ph: (956) 570-5110 | Proginosko Behavioral Health & Wellness, Llc 5415 N Mccoll Rd Ste 105 Mcallen TX 78504-4664 Ph: (956) 570-5110 |
| NPI Number | 1003507898 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Medicare PECOS PAC ID | 0840650081 |
|---|---|
| Medicare Enrollment ID | O20230719001490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003507898 | NPI | - | NPPES |
| 2W2655 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Chipo Ndlovu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073215083 PECOS PAC ID: 1759741994 Enrollment ID: I20230719001657 |
| Provider Name | Quickson Ndlovu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780049411 PECOS PAC ID: 4981064136 Enrollment ID: I20230809002034 |
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