Rebirth Counseling, Pllc | |
1100 Stone Rd Ste 103 Kilgore TX 75662-5494 | |
(466) 608-0295 | |
Not Available |
Full Name | Rebirth Counseling, Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
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, Pllc 1100 Stone Rd Ste 103 Kilgore TX 75662-5494 Ph: (466) 608-0295 | Rebirth Counseling, Pllc 1100 Stone Rd Ste 103 Kilgore TX 75662-5494 Ph: (466) 608-0295 |
NPI Number | 1336702661 |
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Provider Enumeration Date | 04/22/2019 |
Last Update Date | 02/04/2020 |
Certification Date | 02/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336702661 | NPI | - | NPPES |
3921009-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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