| Serenity Ranch Wellness, Pllc | |
|
902 N San Jacinto St Conroe TX 77301-2522 | |
| (936) 333-2653 | |
| (936) 494-3104 |
| Full Name | Serenity Ranch Wellness, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 902 N San Jacinto St, Conroe, Texas |
| Authorized Official Name and Position | Elizabeth Cox (OWNER) |
| Authorized Official Contact | 9363332653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Ranch Wellness, Pllc 1814 Red Oak Dr Conroe TX 77301-4812 Ph: (951) 805-1362 | Serenity Ranch Wellness, Pllc 902 N San Jacinto St Conroe TX 77301-2522 Ph: (936) 333-2653 |
| NPI Number | 1346940160 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/09/2023 |
| Certification Date | 03/09/2023 |
| Medicare PECOS PAC ID | 9335591908 |
|---|---|
| Medicare Enrollment ID | O20240118004057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346940160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801489984 PECOS PAC ID: 2668863564 Enrollment ID: I20240118004116 |
| Provider Name | Elise Dauksza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003409186 PECOS PAC ID: 1456793983 Enrollment ID: I20240529001600 |
| Provider Name | Monique Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487122214 PECOS PAC ID: 8729520234 Enrollment ID: I20240611003507 |
| Provider Name | Maritza Molina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427743145 PECOS PAC ID: 9133661598 Enrollment ID: I20240613000087 |
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Aspire Hospital, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2006 S Loop 336 W, # 500, Conroe, TX 77304 Phone: 936-647-3500 Fax: 936-647-3479 | |
Walter Y. Quijano, Ph.d., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Thompson St, Conroe, TX 77301 Phone: 936-539-2226 Fax: 936-788-5897 | |
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