| Release Center, Pllc | |
|
126 Eldridge Rd Ste E Sugar Land TX 77478-3794 | |
| (281) 907-9528 | |
| Not Available |
| Full Name | Release Center, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 126 Eldridge Rd Ste E, Sugar Land, Texas |
| Authorized Official Name and Position | Marcia D Smith (CEO) |
| Authorized Official Contact | 9013878644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Release Center, Pllc 12711 Alderwood Dr Missouri City TX 77489-3937 Ph: (901) 387-8644 | Release Center, Pllc 126 Eldridge Rd Ste E Sugar Land TX 77478-3794 Ph: (281) 907-9528 |
| NPI Number | 1003684812 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 7113364316 |
|---|---|
| Medicare Enrollment ID | O20240323000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003684812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Marcia Demarje Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578295044 PECOS PAC ID: 8022455229 Enrollment ID: I20240323000419 |
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