| Suvida Therapy And Consulting Services, Pllc | |
|
2209 Sparrow Rd Killeen TX 76542-5830 | |
| (956) 456-0064 | |
| Not Available |
| Full Name | Suvida Therapy And Consulting Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2209 Sparrow Rd, Killeen, Texas |
| Authorized Official Name and Position | Jacqueline Ruiz-lugo (OWNER) |
| Authorized Official Contact | 9564560064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suvida Therapy And Consulting Services, Pllc 2209 Sparrow Rd Killeen TX 76542-5830 Ph: (956) 456-0064 | Suvida Therapy And Consulting Services, Pllc 2209 Sparrow Rd Killeen TX 76542-5830 Ph: (956) 456-0064 |
| NPI Number | 1578320875 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Medicare PECOS PAC ID | 3971942400 |
|---|---|
| Medicare Enrollment ID | O20240417001703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578320875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jacqueline Ruiz-lugo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811629397 PECOS PAC ID: 6608215132 Enrollment ID: I20240417001968 |
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