Rebirth Counseling, Llc | |
1100 Stone Rd Ste 103 Kilgore TX 75662-5494 | |
(469) 608-0295 | |
Not Available |
Full Name | Rebirth Counseling, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 1100 Stone Rd Ste 103, Kilgore, Texas |
Authorized Official Name and Position | Crystal Dudley (OWNER) |
Authorized Official Contact | 4696080295 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rebirth Counseling, Llc 1100 Stone Rd Ste 103 Kilgore TX 75662-5494 Ph: (469) 608-0295 | Rebirth Counseling, Llc 1100 Stone Rd Ste 103 Kilgore TX 75662-5494 Ph: (469) 608-0295 |
NPI Number | 1487117032 |
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Provider Enumeration Date | 04/10/2019 |
Last Update Date | 04/10/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487117032 | NPI | - | NPPES |
3921009-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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