| Restorative Pathways Pllc | |
|
18945 Fm 2252 Ste 116 Garden Ridge TX 78266-2797 | |
| (210) 452-3373 | |
| Not Available |
| Full Name | Restorative Pathways Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 18945 Fm 2252 Ste 116, Garden Ridge, Texas |
| Authorized Official Name and Position | Irina Adams (OWNER) |
| Authorized Official Contact | 2104523373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Pathways Pllc 3605 Hidden Dr Apt H2 San Antonio TX 78217-4676 Ph: (210) 452-3373 | Restorative Pathways Pllc 18945 Fm 2252 Ste 116 Garden Ridge TX 78266-2797 Ph: (210) 452-3373 |
| NPI Number | 1851861835 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 12/23/2019 |
| Certification Date | 12/23/2019 |
| Medicare PECOS PAC ID | 2264775451 |
|---|---|
| Medicare Enrollment ID | O20190509001127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851861835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Irina Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134510886 PECOS PAC ID: 3173866365 Enrollment ID: I20190513000613 |
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