| Siloe Mind And Wellness Services, Pllc | |
|
10664 Vista Del Sol Dr Ste A El Paso TX 79935-4554 | |
| (915) 479-2754 | |
| Not Available |
| Full Name | Siloe Mind And Wellness Services, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10664 Vista Del Sol Dr Ste A, El Paso, Texas |
| Authorized Official Name and Position | Marco Polo Castorena (DIRECTOR/ OWNER) |
| Authorized Official Contact | 9154792754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siloe Mind And Wellness Services, Pllc 3456 Chickasaw Dr El Paso TX 79936-1261 Ph: () - | Siloe Mind And Wellness Services, Pllc 10664 Vista Del Sol Dr Ste A El Paso TX 79935-4554 Ph: (915) 479-2754 |
| NPI Number | 1669171237 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669171237 | NPI | - | NPPES |
| PENDING | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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