| Sdhughes Pllc | |
|
930 W Ralph Hall Pkwy Ste 114 Rockwall TX 75032-6664 | |
| (214) 542-3234 | |
| Not Available |
| Full Name | Sdhughes Pllc |
|---|---|
| Speciality | Counselor |
| Location | 930 W Ralph Hall Pkwy Ste 114, Rockwall, Texas |
| Authorized Official Name and Position | Shawn D Hughes (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2145422348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sdhughes Pllc 930 W Ralph Hall Pkwy Ste 114 Rockwall TX 75032-6664 Ph: (214) 542-3234 | Sdhughes Pllc 930 W Ralph Hall Pkwy Ste 114 Rockwall TX 75032-6664 Ph: (214) 542-3234 |
| NPI Number | 1346950045 |
|---|---|
| Provider Enumeration Date | 12/02/2022 |
| Last Update Date | 12/02/2022 |
| Certification Date | 12/02/2022 |
| Medicare PECOS PAC ID | 6800253451 |
|---|---|
| Medicare Enrollment ID | O20230905004122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346950045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Daniel Whelan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164190096 PECOS PAC ID: 1850781923 Enrollment ID: I20211203000633 |
| Provider Name | Rebekah Jean Raiford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770261646 PECOS PAC ID: 6204283781 Enrollment ID: I20231104000614 |
| Provider Name | Jessica R Cooksy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538811906 PECOS PAC ID: 4789036492 Enrollment ID: I20240118001987 |
| Provider Name | Shawn David Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336300151 PECOS PAC ID: 7719344365 Enrollment ID: I20240119002740 |
| Provider Name | Carmela Georgina Rupe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376876409 PECOS PAC ID: 2769829084 Enrollment ID: I20240322000727 |
| Provider Name | Jennifer Anne Brabham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447559877 PECOS PAC ID: 9931549763 Enrollment ID: I20240426002599 |
| Provider Name | Logen Ashford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982478608 PECOS PAC ID: 6305388190 Enrollment ID: I20240607002312 |
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