| Realistic Expectations, Pllc | |
|
1771 International Pkwy Ste 107 Richardson TX 75081-1865 | |
| (972) 696-9359 | |
| (844) 828-3612 |
| Full Name | Realistic Expectations, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1771 International Pkwy Ste 107, Richardson, Texas |
| Authorized Official Name and Position | Elizabeth Newsom (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 9726969359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Realistic Expectations, Pllc 1771 International Pkwy Ste 107 Richardson TX 75081-1865 Ph: (972) 696-9359 | Realistic Expectations, Pllc 1771 International Pkwy Ste 107 Richardson TX 75081-1865 Ph: (972) 696-9359 |
| NPI Number | 1164760518 |
|---|---|
| Provider Enumeration Date | 01/19/2013 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Medicare PECOS PAC ID | 4284862244 |
|---|---|
| Medicare Enrollment ID | O20140121000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164760518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 801696071 (Texas) | Primary |
| Provider Name | Elizabeth Leanne Newsom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558628834 PECOS PAC ID: 7113155169 Enrollment ID: I20140121000341 |
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