Summitview Behavioral Health Pllc | |
74 Tudela St Brownsville TX 78526-1870 | |
(956) 639-6309 | |
Not Available |
Full Name | Summitview Behavioral Health Pllc |
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Speciality | Counselor - Professional |
Location | 74 Tudela St, Brownsville, Texas |
Authorized Official Name and Position | Jordan B Killpack (PLLC MEMBER/MANAGER) |
Authorized Official Contact | 9566396309 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Summitview Behavioral Health Pllc 74 Tudela St Brownsville TX 78526-1870 Ph: (956) 639-6309 | Summitview Behavioral Health Pllc 74 Tudela St Brownsville TX 78526-1870 Ph: (956) 639-6309 |
NPI Number | 1538475595 |
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Provider Enumeration Date | 08/27/2010 |
Last Update Date | 08/27/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538475595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 20280 (Texas) | Primary |
101YP2500X | Counselor - Professional | 62062 (Texas) | Secondary |
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