| The Jewel Box Counseling, Pllc | |
|
11601 Shadow Creek Pkwy Ste 111-105 Pearland TX 77584-7283 | |
| (832) 847-2850 | |
| Not Available |
| Full Name | The Jewel Box Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 11601 Shadow Creek Pkwy Ste 111-105, Pearland, Texas |
| Authorized Official Name and Position | Lauren Johnson (OWNER) |
| Authorized Official Contact | 8328472850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Jewel Box Counseling, Pllc 11601 Shadow Creek Pkwy Ste 111-105 Pearland TX 77584-7283 Ph: (832) 847-2850 | The Jewel Box Counseling, Pllc 11601 Shadow Creek Pkwy Ste 111-105 Pearland TX 77584-7283 Ph: (832) 847-2850 |
| NPI Number | 1912750175 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Medicare PECOS PAC ID | 7012453871 |
|---|---|
| Medicare Enrollment ID | O20240729002496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912750175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lauren Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649035536 PECOS PAC ID: 8921544784 Enrollment ID: I20240729002768 |
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