Receiving The Gift | |
3800 Paluxy Drive Suite 240 Tyler TX 75703-1667 | |
(903) 283-8729 | |
(888) 454-9083 |
Full Name | Receiving The Gift |
---|---|
Speciality | Counselor |
Location | 3800 Paluxy Drive, Tyler, Texas |
Authorized Official Name and Position | Nancy G. Mayer (OWNER) |
Authorized Official Contact | 9035618955 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Receiving The Gift 1507 Belmont Dr Tyler TX 75701-3222 Ph: () - | Receiving The Gift 3800 Paluxy Drive Suite 240 Tyler TX 75703-1667 Ph: (903) 283-8729 |
NPI Number | 1336555499 |
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Provider Enumeration Date | 07/09/2014 |
Last Update Date | 10/08/2015 |
Medicare PECOS PAC ID | 5193165868 |
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Medicare Enrollment ID | O20240429000680 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336555499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 61238 (Texas) | Primary |
Provider Name | Nancy G Mayer |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1699181198 PECOS PAC ID: 5991146466 Enrollment ID: I20240515001610 |
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