| Safe Harbor Coastal Counseling Pllc | |
|
4920 Seawall Blvd Ste D Galveston TX 77551-6011 | |
| (409) 995-7669 | |
| Not Available |
| Full Name | Safe Harbor Coastal Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 4920 Seawall Blvd Ste D, Galveston, Texas |
| Authorized Official Name and Position | Angelica Ramos (LPC/OWNER) |
| Authorized Official Contact | 4099957669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbor Coastal Counseling Pllc 2430 Santiago Ln League City TX 77573-1518 Ph: (409) 995-7669 | Safe Harbor Coastal Counseling Pllc 4920 Seawall Blvd Ste D Galveston TX 77551-6011 Ph: (409) 995-7669 |
| NPI Number | 1114590346 |
|---|---|
| Provider Enumeration Date | 07/24/2021 |
| Last Update Date | 07/24/2021 |
| Certification Date | 07/15/2021 |
| Medicare PECOS PAC ID | 7113367129 |
|---|---|
| Medicare Enrollment ID | O20240424002182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114590346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Angelica Marie Ramos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104477843 PECOS PAC ID: 8022458033 Enrollment ID: I20240506004258 |
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