| Sheppard Counseling Services Llc | |
|
3223 S Loop 289 Ste 315 Lubbock TX 79423-1333 | |
| (806) 470-4947 | |
| Not Available |
| Full Name | Sheppard Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 3223 S Loop 289 Ste 315, Lubbock, Texas |
| Authorized Official Name and Position | John P Sheppard (CHIEF EXECUTIVE MANAGER) |
| Authorized Official Contact | 8064704947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheppard Counseling Services Llc 3223 S Loop 289 Ste 315 Lubbock TX 79423-1333 Ph: (806) 470-4947 | Sheppard Counseling Services Llc 3223 S Loop 289 Ste 315 Lubbock TX 79423-1333 Ph: (806) 470-4947 |
| NPI Number | 1689375321 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 9931548294 |
|---|---|
| Medicare Enrollment ID | O20240418004087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689375321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | John P Sheppard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508563065 PECOS PAC ID: 1759720022 Enrollment ID: I20240418004177 |
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