| Sharyland Counseling Services, Llc | |
|
2027 E Griffin Pkwy Mission TX 78572-3222 | |
| (956) 255-3132 | |
| (956) 386-0006 |
| Full Name | Sharyland Counseling Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2027 E Griffin Pkwy, Mission, Texas |
| Authorized Official Name and Position | Eduardo T Gonzalez (OWNER) |
| Authorized Official Contact | 9562553132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharyland Counseling Services, Llc 1307 Alicia Ln Mission TX 78572-3017 Ph: (956) 255-3132 | Sharyland Counseling Services, Llc 2027 E Griffin Pkwy Mission TX 78572-3222 Ph: (956) 255-3132 |
| NPI Number | 1770136483 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 04/07/2024 |
| Certification Date | 04/07/2024 |
| Medicare PECOS PAC ID | 4486195567 |
|---|---|
| Medicare Enrollment ID | O20240917000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770136483 | NPI | - | NPPES |
| 392769103 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Eduardo T Gonzalez |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1053883090 PECOS PAC ID: 5395286470 Enrollment ID: I20240917000053 |
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