| Therapeutic Alliance And Testing Center, Llc | |
|
7070 Knights Ct Ste 1301 Missouri City TX 77459-5225 | |
| (713) 859-8240 | |
| Not Available |
| Full Name | Therapeutic Alliance And Testing Center, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7070 Knights Ct Ste 1301, Missouri City, Texas |
| Authorized Official Name and Position | Jacqueline Jones Mckinney (OWNER) |
| Authorized Official Contact | 7138598240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Alliance And Testing Center, Llc 7070 Kights Ct Ste 1301 Missouri City TX 77459-6855 Ph: (713) 859-8240 | Therapeutic Alliance And Testing Center, Llc 7070 Knights Ct Ste 1301 Missouri City TX 77459-5225 Ph: (713) 859-8240 |
| NPI Number | 1063109536 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Medicare PECOS PAC ID | 3678931318 |
|---|---|
| Medicare Enrollment ID | O20230628000621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063109536 | NPI | - | NPPES |
| Provider Name | Jacqueline Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831225812 PECOS PAC ID: 3476443128 Enrollment ID: I20040317000860 |
| Provider Name | Lorraine Elizabeth Mckinney |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609813252 PECOS PAC ID: 5496708265 Enrollment ID: I20070926000113 |
| Provider Name | Bayo Ivyl Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134884356 PECOS PAC ID: 1052798774 Enrollment ID: I20220519000469 |
| Provider Name | Ray Fenley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841877024 PECOS PAC ID: 7618357930 Enrollment ID: I20220705001685 |
| Provider Name | Mary Louise Sanchez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831866870 PECOS PAC ID: 9638522139 Enrollment ID: I20240131004601 |
| Provider Name | Lakiffanie Patryce Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881464246 PECOS PAC ID: 0143660647 Enrollment ID: I20240501002088 |
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