| Salyer Counseling Group, Pllc | |
|
3611 W Pioneer Pkwy Ste H Pantego TX 76013-4516 | |
| (682) 587-7747 | |
| Not Available |
| Full Name | Salyer Counseling Group, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3611 W Pioneer Pkwy Ste H, Pantego, Texas |
| Authorized Official Name and Position | Kasey Gene Shaw Salyer (COUNSELOR/ OWNER) |
| Authorized Official Contact | 6825877747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salyer Counseling Group, Pllc Po Box 171864 Arlington TX 76003-1864 Ph: (806) 543-9287 | Salyer Counseling Group, Pllc 3611 W Pioneer Pkwy Ste H Pantego TX 76013-4516 Ph: (682) 587-7747 |
| NPI Number | 1093317802 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 12/14/2020 |
| Certification Date | 12/01/2020 |
| Medicare PECOS PAC ID | 2860806429 |
|---|---|
| Medicare Enrollment ID | O20210122001783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093317802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kasey G Shaw Salyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396228524 PECOS PAC ID: 0446586044 Enrollment ID: I20190719000054 |
| Provider Name | Christina A Lacivita |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669005245 PECOS PAC ID: 0143626077 Enrollment ID: I20210901001494 |
| Provider Name | Ann Agbiak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720519119 PECOS PAC ID: 4385010115 Enrollment ID: I20221020000031 |
| Provider Name | Amy Allison Boelkens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053181107 PECOS PAC ID: 2860844032 Enrollment ID: I20240123004900 |
| Provider Name | Leeann Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588418966 PECOS PAC ID: 1052751617 Enrollment ID: I20240430000547 |
| Provider Name | Alexia Eller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568217990 PECOS PAC ID: 0244671998 Enrollment ID: I20240511000429 |
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