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3016 Independence Dr Ste 105 New Braunfels TX 78132-4478 | |
| (210) 517-9024 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 3016 Independence Dr Ste 105, New Braunfels, Texas |
| Authorized Official Name and Position | Jolene Joy Des Roches (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2105179024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
3016 Independence Dr Ste 105 New Braunfels TX 78132-4478 Ph: (210) 570-9024 | 3016 Independence Dr Ste 105 New Braunfels TX 78132-4478 Ph: (210) 517-9024 |
| NPI Number | 1699409201 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 03/14/2023 |
| Certification Date | 03/14/2023 |
| Medicare PECOS PAC ID | 9436524311 |
|---|---|
| Medicare Enrollment ID | O20230406000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699409201 | NPI | - | NPPES |
| Provider Name | Noel M James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083023550 PECOS PAC ID: 9931421666 Enrollment ID: I20141208000201 |
| Provider Name | Rebecca Marie Ayala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629789904 PECOS PAC ID: 3971954769 Enrollment ID: I20240105001382 |
| Provider Name | Tonya M Boyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427790484 PECOS PAC ID: 8527419340 Enrollment ID: I20240105002428 |
| Provider Name | Rona E Lambert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710440987 PECOS PAC ID: 0941651251 Enrollment ID: I20240111001837 |
| Provider Name | Cristina Thornell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376116996 PECOS PAC ID: 6305297581 Enrollment ID: I20240111004811 |
| Provider Name | Jolene Des Roches |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457538142 PECOS PAC ID: 5890160774 Enrollment ID: I20240112001643 |
| Provider Name | Stacey Carlton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174130975 PECOS PAC ID: 4385096502 Enrollment ID: I20240123003364 |
| Provider Name | Shawntee Desaray Torres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750777850 PECOS PAC ID: 6800333493 Enrollment ID: I20240731003243 |
| Provider Name | Dondee Marie Swart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639701832 PECOS PAC ID: 4183157282 Enrollment ID: I20241028003973 |
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