| Rose Street Mental Health Care, Llp | |
|
1808 Rose St Wichita Falls TX 76301-4219 | |
| (940) 723-4488 | |
| (940) 723-0446 |
| Full Name | Rose Street Mental Health Care, Llp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1808 Rose St, Wichita Falls, Texas |
| Authorized Official Name and Position | Shannon Winter (OFFICE MANAGER) |
| Authorized Official Contact | 9403229456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Street Mental Health Care, Llp 1808 Rose St Wichita Falls TX 76301-4219 Ph: (940) 723-4488 | Rose Street Mental Health Care, Llp 1808 Rose St Wichita Falls TX 76301-4219 Ph: (940) 723-4488 |
| NPI Number | 1760481709 |
|---|---|
| Provider Enumeration Date | 07/20/2005 |
| Last Update Date | 07/21/2022 |
| Certification Date | 05/26/2020 |
| Medicare PECOS PAC ID | 6204893548 |
|---|---|
| Medicare Enrollment ID | O20050113000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760481709 | NPI | - | NPPES |
| 200065400A | Medicaid | OK | |
| 160113001 | Medicaid | TX | |
| 124521 | Other | TX | SUPERIOR |
| 295881 | Other | TX | VALUEOPTIONS |
| Provider Name | Sonja M Calliste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548570773 PECOS PAC ID: 6406036953 Enrollment ID: I20110215001150 |
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