| Taft Counseling Center Inc | |
|
4722 Taft Blvd Suite 2 Wichita Falls TX 76308-4800 | |
| (940) 691-1899 | |
| (940) 691-3423 |
| Full Name | Taft Counseling Center Inc |
|---|---|
| Speciality | Counselor |
| Location | 4722 Taft Blvd, Wichita Falls, Texas |
| Authorized Official Name and Position | Rhonda J Kjaer (OFFICE MANAGER) |
| Authorized Official Contact | 9406911899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taft Counseling Center Inc 4722 Taft Blvd Suite 2 Wichita Falls TX 76308-4800 Ph: (940) 691-1899 | Taft Counseling Center Inc 4722 Taft Blvd Suite 2 Wichita Falls TX 76308-4800 Ph: (940) 691-1899 |
| NPI Number | 1922057769 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 1254581564 |
|---|---|
| Medicare Enrollment ID | O20121023000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922057769 | NPI | - | NPPES |
| OOU97X | Other | TX | BLUE CROSS |
| 079830801 | Medicaid | TX |
| Provider Name | Reda Gail Rasco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730224262 PECOS PAC ID: 1759550395 Enrollment ID: I20110816000436 |
| Provider Name | Vanessa Kincheloe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891233789 PECOS PAC ID: 6204110471 Enrollment ID: I20170307001956 |
| Provider Name | Lavon R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700113156 PECOS PAC ID: 3971860123 Enrollment ID: I20190411000666 |
| Provider Name | Tavanna Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295467504 PECOS PAC ID: 7719340694 Enrollment ID: I20230824002630 |
| Provider Name | Jay A Cherry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881831840 PECOS PAC ID: 3173961844 Enrollment ID: I20240402000080 |
| Provider Name | Rhonda Hensley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730695131 PECOS PAC ID: 4183066426 Enrollment ID: I20240531001464 |
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