| Family Recovery Essentials | |
|
1604 Industry Dr Ste 108c Bastrop TX 78602-4603 | |
| (737) 251-5707 | |
| (737) 222-4463 |
| Full Name | Family Recovery Essentials |
|---|---|
| Speciality | Counselor |
| Location | 1604 Industry Dr Ste 108c, Bastrop, Texas |
| Authorized Official Name and Position | Patricia L. Weber (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7372515707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Recovery Essentials 1604 Industry Dr Ste 108c Bastrop TX 78602-4603 Ph: (737) 222-4463 | Family Recovery Essentials 1604 Industry Dr Ste 108c Bastrop TX 78602-4603 Ph: (737) 251-5707 |
| NPI Number | 1992429740 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 6901258284 |
|---|---|
| Medicare Enrollment ID | O20240123001600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992429740 | NPI | - | NPPES |
| Provider Name | Patricia Weber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265107650 PECOS PAC ID: 8527410802 Enrollment ID: I20240123002207 |
| Provider Name | Roberto Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588020812 PECOS PAC ID: 3173975455 Enrollment ID: I20240123002481 |
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