| Secular Therapy Pllc | |
|
1208 Sandholler Rd Dale TX 78616-3176 | |
| (214) 674-5452 | |
| Not Available |
| Full Name | Secular Therapy Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1208 Sandholler Rd, Dale, Texas |
| Authorized Official Name and Position | Randall Browning (OWNER AND THERAPIST) |
| Authorized Official Contact | 2146745452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Secular Therapy Pllc 1208 Sandholler Rd Dale TX 78616-3176 Ph: (214) 674-5452 | Secular Therapy Pllc 1208 Sandholler Rd Dale TX 78616-3176 Ph: (214) 674-5452 |
| NPI Number | 1063141935 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 06/07/2022 |
| Certification Date | 06/07/2022 |
| Medicare PECOS PAC ID | 4183068414 |
|---|---|
| Medicare Enrollment ID | O20240214003974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063141935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Randall S Browning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972015436 PECOS PAC ID: 7719321041 Enrollment ID: I20240214004102 |
A. T. Platinum Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 Hazelnut Cv, Dale, TX 78616 Phone: 512-922-1004 Fax: 512-291-7154 |