| Strength In Action Llc | |
|
5941 Fiesta Dr El Paso TX 79912-5254 | |
| (915) 412-0468 | |
| Not Available |
| Full Name | Strength In Action Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5941 Fiesta Dr, El Paso, Texas |
| Authorized Official Name and Position | Daryl Stevens (LCSW) |
| Authorized Official Contact | 9154120468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strength In Action Llc 5941 Fiesta Dr El Paso TX 79912-5254 Ph: () - | Strength In Action Llc 5941 Fiesta Dr El Paso TX 79912-5254 Ph: (915) 412-0468 |
| NPI Number | 1003434150 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 07/06/2020 |
| Certification Date | 07/06/2020 |
| Medicare PECOS PAC ID | 2769894971 |
|---|---|
| Medicare Enrollment ID | O20201211002005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003434150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daryl E Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477190783 PECOS PAC ID: 3375978190 Enrollment ID: I20200123002891 |
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