| Reset Space Counseling Solutions, Pllc | |
|
12702 Toepperwein Rd Ste 215 Live Oak TX 78233-3250 | |
| (512) 537-4065 | |
| (512) 539-2881 |
| Full Name | Reset Space Counseling Solutions, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 12702 Toepperwein Rd Ste 215, Live Oak, Texas |
| Authorized Official Name and Position | Febe Sarai Fernandez (COUNSELOR) |
| Authorized Official Contact | 5125374065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reset Space Counseling Solutions, Pllc Po Box 34477 San Antonio TX 78265-4477 Ph: (512) 537-4065 | Reset Space Counseling Solutions, Pllc 12702 Toepperwein Rd Ste 215 Live Oak TX 78233-3250 Ph: (512) 537-4065 |
| NPI Number | 1194492983 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 3577907021 |
|---|---|
| Medicare Enrollment ID | O20240222004303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194492983 | NPI | - | NPPES |
| 1194240192 | Other | TX | NPI 1 |
| 412180801 | Medicaid | TX |
| Provider Name | Febe S Fernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194240192 PECOS PAC ID: 7618312786 Enrollment ID: I20240228003180 |
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