| Texas Online Counseling Pllc | |
|
926 Witherby Ln Lewisville TX 75067-4477 | |
| (888) 317-7021 | |
| (888) 317-7021 |
| Full Name | Texas Online Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 926 Witherby Ln, Lewisville, Texas |
| Authorized Official Name and Position | Michelle Inauen (OWNER/MANAGER) |
| Authorized Official Contact | 8883177021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Online Counseling Pllc 2023 W Ranch Rd Farmington UT 84025-5029 Ph: (888) 317-7021 | Texas Online Counseling Pllc 926 Witherby Ln Lewisville TX 75067-4477 Ph: (888) 317-7021 |
| NPI Number | 1023576055 |
|---|---|
| Provider Enumeration Date | 03/08/2019 |
| Last Update Date | 03/08/2019 |
| Medicare PECOS PAC ID | 3173967734 |
|---|---|
| Medicare Enrollment ID | O20240222001015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023576055 | NPI | - | NPPES |
| 14079397649 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Michelle Inauen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407397649 PECOS PAC ID: 4688006232 Enrollment ID: I20240222001696 |
| Provider Name | Patricia Keaton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851979140 PECOS PAC ID: 1557705142 Enrollment ID: I20240222002190 |
| Provider Name | Nancy Blum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104243179 PECOS PAC ID: 4789021098 Enrollment ID: I20240322000638 |
| Provider Name | Michelle Blank |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427579507 PECOS PAC ID: 0042659955 Enrollment ID: I20240411002224 |
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