| Smart Ideas Consulting Firm, Llc | |
|
1500 N Main St Ste 132 Fort Worth TX 76164-8966 | |
| (314) 326-3004 | |
| (314) 754-9664 |
| Full Name | Smart Ideas Consulting Firm, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1500 N Main St Ste 132, Fort Worth, Texas |
| Authorized Official Name and Position | Ladonna Michelle Turner (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3148534965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Ideas Consulting Firm, Llc 1500 N Main St Ste 132 Fort Worth TX 76164-8966 Ph: (314) 326-3004 | Smart Ideas Consulting Firm, Llc 1500 N Main St Ste 132 Fort Worth TX 76164-8966 Ph: (314) 326-3004 |
| NPI Number | 1326426479 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/08/2022 |
| Medicare PECOS PAC ID | 2163706284 |
|---|---|
| Medicare Enrollment ID | O20190501001358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326426479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2015007546 (Missouri) | Primary |
| Provider Name | Ladonna Michelle Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962746883 PECOS PAC ID: 9032401930 Enrollment ID: I20190501001469 |
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