Skc Therapy Services Pllc | |
255 W Lebanon Ste 224 Frisco TX 75036-3404 | |
(830) 237-0599 | |
Not Available |
Full Name | Skc Therapy Services Pllc |
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Speciality | Social Worker |
Location | 255 W Lebanon Ste 224, Frisco, Texas |
Authorized Official Name and Position | Shannon K Campbell (OWNER) |
Authorized Official Contact | 9043029376 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Skc Therapy Services Pllc 5562 Mesa Verde Ct Fort Worth TX 76137-4438 Ph: () - | Skc Therapy Services Pllc 255 W Lebanon Ste 224 Frisco TX 75036-3404 Ph: (830) 237-0599 |
NPI Number | 1093433989 |
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Provider Enumeration Date | 08/17/2022 |
Last Update Date | 08/17/2022 |
Certification Date | 08/17/2022 |
Medicare PECOS PAC ID | 2668857954 |
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Medicare Enrollment ID | O20220922003188 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093433989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Shannon Kohlenberg Campbell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609414200 PECOS PAC ID: 8527494038 Enrollment ID: I20200131001549 |
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