| Tina Huseth Counseling | |
|
11849 County Road 461 Tyler TX 75706-4823 | |
| (903) 920-7847 | |
| (512) 605-3827 |
| Full Name | Tina Huseth Counseling |
|---|---|
| Speciality | Counselor |
| Location | 11849 County Road 461, Tyler, Texas |
| Authorized Official Name and Position | Tina Renae Huseth (OWNER) |
| Authorized Official Contact | 9039207847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Huseth Counseling 11849 County Road 461 Tyler TX 75706-4823 Ph: (903) 920-7847 | Tina Huseth Counseling 11849 County Road 461 Tyler TX 75706-4823 Ph: (903) 920-7847 |
| NPI Number | 1184321234 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 03/16/2024 |
| Certification Date | 03/16/2024 |
| Medicare PECOS PAC ID | 7113369513 |
|---|---|
| Medicare Enrollment ID | O20240530004043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184321234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tina Renae Huseth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902309487 PECOS PAC ID: 9739581232 Enrollment ID: I20240530004093 |
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