Steadfast Health & Wellness Pllc | |
1219 Dallas St Port Neches TX 77651-2908 | |
(409) 234-5777 | |
(877) 250-4835 |
Full Name | Steadfast Health & Wellness Pllc |
---|---|
Speciality | Counselor |
Location | 1219 Dallas St, Port Neches, Texas |
Authorized Official Name and Position | Brandon Michael Roberts (OWNER) |
Authorized Official Contact | 4097908318 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Steadfast Health & Wellness Pllc 1219 Dallas St Port Neches TX 77651-2908 Ph: (409) 234-5777 | Steadfast Health & Wellness Pllc 1219 Dallas St Port Neches TX 77651-2908 Ph: (409) 234-5777 |
NPI Number | 1003588856 |
---|---|
Provider Enumeration Date | 09/30/2021 |
Last Update Date | 04/13/2022 |
Certification Date | 04/13/2022 |
Medicare PECOS PAC ID | 9830566132 |
---|---|
Medicare Enrollment ID | O20221028002365 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003588856 | NPI | - | NPPES |
3911679 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Ryan C Dollinger |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780290890 PECOS PAC ID: 3375910680 Enrollment ID: I20221028002435 |
Solace Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 Dallas St, Port Neches, TX 77651 Phone: 409-984-3016 |