| Psyched Behavioral Health Pllc | |
|
2201 N Collins St Ste 180 Arlington TX 76011-2609 | |
| (817) 233-3452 | |
| Not Available |
| Full Name | Psyched Behavioral Health Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2201 N Collins St Ste 180, Arlington, Texas |
| Authorized Official Name and Position | Heba Abu-maizar (CEO) |
| Authorized Official Contact | 8172333452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psyched Behavioral Health Pllc 2201 N Collins St Ste 180 Arlington TX 76011-2609 Ph: (817) 233-3452 | Psyched Behavioral Health Pllc 2201 N Collins St Ste 180 Arlington TX 76011-2609 Ph: (817) 233-3452 |
| NPI Number | 1164188868 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Medicare PECOS PAC ID | 9335512755 |
|---|---|
| Medicare Enrollment ID | O20230307000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164188868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Heba Abu-maizar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548925928 PECOS PAC ID: 2062803471 Enrollment ID: I20211220000438 |
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