| Purple Couch Counseling & Consulting Pllc | |
|
4115 Medical Dr Ste 5207 San Antonio TX 78229-5657 | |
| (210) 215-9955 | |
| Not Available |
| Full Name | Purple Couch Counseling & Consulting Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4115 Medical Dr Ste 5207, San Antonio, Texas |
| Authorized Official Name and Position | Jessica Reynolds (PSYCHOTHERPIST/CEO) |
| Authorized Official Contact | 2102159955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Purple Couch Counseling & Consulting Pllc 8014 Lovela Bnd San Antonio TX 78254-4466 Ph: () - | Purple Couch Counseling & Consulting Pllc 4115 Medical Dr Ste 5207 San Antonio TX 78229-5657 Ph: (210) 215-9955 |
| NPI Number | 1023650405 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 12/04/2020 |
| Certification Date | 12/04/2020 |
| Medicare PECOS PAC ID | 3072924695 |
|---|---|
| Medicare Enrollment ID | O20201202002008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023650405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica N Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518443217 PECOS PAC ID: 9537402417 Enrollment ID: I20190516000262 |
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