| Providential Refuge Counseling Pllc | |
|
17460 Interstate 35 N # 430-511 Schertz TX 78154-1243 | |
| (210) 501-8200 | |
| (210) 598-1910 |
| Full Name | Providential Refuge Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 17460 Interstate 35 N # 430-511, Schertz, Texas |
| Authorized Official Name and Position | Deanne Acker (LCSW) |
| Authorized Official Contact | 2105018200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providential Refuge Counseling Pllc 17460 Interstate 35 N # 430-511 Schertz TX 78154-1243 Ph: (210) 501-8200 | Providential Refuge Counseling Pllc 17460 Interstate 35 N # 430-511 Schertz TX 78154-1243 Ph: (210) 501-8200 |
| NPI Number | 1013609734 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Medicare PECOS PAC ID | 5395106223 |
|---|---|
| Medicare Enrollment ID | O20230725002572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013609734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deanne M Acker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891350591 PECOS PAC ID: 2163755059 Enrollment ID: I20190607001791 |
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