| Regenesis Counseling And Assessment Center | |
|
906 W Henderson St Cleburne TX 76033-4836 | |
| (817) 264-6194 | |
| (866) 372-7985 |
| Full Name | Regenesis Counseling And Assessment Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 906 W Henderson St, Cleburne, Texas |
| Authorized Official Name and Position | Kenneth Jones (OWNER/CEO) |
| Authorized Official Contact | 8172646194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenesis Counseling And Assessment Center 906 W Henderson St Cleburne TX 76033-4836 Ph: (817) 264-6194 | Regenesis Counseling And Assessment Center 906 W Henderson St Cleburne TX 76033-4836 Ph: (817) 264-6194 |
| NPI Number | 1477977205 |
|---|---|
| Provider Enumeration Date | 02/14/2014 |
| Last Update Date | 02/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477977205 | NPI | - | NPPES |
| 280045001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 13478 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 28460 (Texas) | Primary |
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