| Texarkana Eclectic Counseling, Pllc | |
|
4140 Mcknight Rd Texarkana TX 75503-0921 | |
| (903) 824-6024 | |
| Not Available |
| Full Name | Texarkana Eclectic Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 4140 Mcknight Rd, Texarkana, Texas |
| Authorized Official Name and Position | Melissa Anne Ward-george (LPC, OWNER) |
| Authorized Official Contact | 9038246024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texarkana Eclectic Counseling, Pllc 4140 Mcknight Rd Texarkana TX 75503-0921 Ph: (903) 824-6024 | Texarkana Eclectic Counseling, Pllc 4140 Mcknight Rd Texarkana TX 75503-0921 Ph: (903) 824-6024 |
| NPI Number | 1891564969 |
|---|---|
| Provider Enumeration Date | 12/29/2023 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 1153760848 |
|---|---|
| Medicare Enrollment ID | O20240415000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891564969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Melissa Anne Ward-george |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568128684 PECOS PAC ID: 2062851751 Enrollment ID: I20240415000946 |
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