| Therapractic Management Systems | |
|
5147 69th St Ste D Lubbock TX 79424-1646 | |
| (806) 771-8808 | |
| (806) 771-8809 |
| Full Name | Therapractic Management Systems |
|---|---|
| Speciality | Counselor |
| Location | 5147 69th St Ste D, Lubbock, Texas |
| Authorized Official Name and Position | Patrick David Randolph (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8067718808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapractic Management Systems 5147 69th St Ste D Lubbock TX 79424-1646 Ph: (806) 771-8808 | Therapractic Management Systems 5147 69th St Ste D Lubbock TX 79424-1646 Ph: (806) 771-8808 |
| NPI Number | 1144790130 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144790130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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