|
| |
|
4150 Rio Bravo St Suite 225 El Paso TX 79902-1055 | |
| (915) 533-8696 | |
| (915) 234-2286 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4150 Rio Bravo St, El Paso, Texas |
| Authorized Official Name and Position | Shannon Sawyer (CEO) |
| Authorized Official Contact | 9155338696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4150 Rio Bravo St Suite 225 El Paso TX 79902-1055 Ph: () - | 4150 Rio Bravo St Suite 225 El Paso TX 79902-1055 Ph: (915) 533-8696 |
| NPI Number | 1982064705 |
|---|---|
| Provider Enumeration Date | 03/07/2016 |
| Last Update Date | 03/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982064705 | NPI | - | NPPES |
| 310648602 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 67787 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 67787 (Texas) | Primary |
Monica Mcgowan, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 N Campbell St, El Paso, TX 79902 Phone: 915-545-1520 | |
Strength In Action Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5941 Fiesta Dr, El Paso, TX 79912 Phone: 915-412-0468 | |
Growth Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14219 Ranier Point, El Paso, TX 79938 Phone: 915-329-4047 | |
El Paso Healthyminds Psychiatry, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2101 N Oregon St, El Paso, TX 79902 Phone: 915-577-7888 | |