| Studio 4-1-1 Counseling & Consulting, Pllc | |
|
2003 E Lamar Blvd Ste 225 Arlington TX 76006-7316 | |
| (682) 320-8077 | |
| Not Available |
| Full Name | Studio 4-1-1 Counseling & Consulting, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2003 E Lamar Blvd Ste 225, Arlington, Texas |
| Authorized Official Name and Position | Leteshia Rockwell (OWNER) |
| Authorized Official Contact | 8322941418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Studio 4-1-1 Counseling & Consulting, Pllc 2003 E Lamar Blvd Ste 225 Arlington TX 76006-7316 Ph: (682) 320-8077 | Studio 4-1-1 Counseling & Consulting, Pllc 2003 E Lamar Blvd Ste 225 Arlington TX 76006-7316 Ph: (682) 320-8077 |
| NPI Number | 1639709892 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Medicare PECOS PAC ID | 1052748407 |
|---|---|
| Medicare Enrollment ID | O20200224001992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639709892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Leteshia Rockwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659758720 PECOS PAC ID: 8224465679 Enrollment ID: I20200224002111 |
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