Total Wellness Assessment & Counseling Center Pllc | |
3801 Kirby Dr Ste 311 Houston TX 77098-4159 | |
(281) 907-8089 | |
(844) 270-8089 |
Full Name | Total Wellness Assessment & Counseling Center Pllc |
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Speciality | Psychologist |
Location | 3801 Kirby Dr Ste 311, Houston, Texas |
Authorized Official Name and Position | Gina Evans (CEO) |
Authorized Official Contact | 2819078191 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Total Wellness Assessment & Counseling Center Pllc 3801 Kirby Dr Ste 311 Houston TX 77098-4159 Ph: (281) 907-8191 | Total Wellness Assessment & Counseling Center Pllc 3801 Kirby Dr Ste 311 Houston TX 77098-4159 Ph: (281) 907-8089 |
NPI Number | 1619238003 |
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Provider Enumeration Date | 06/03/2012 |
Last Update Date | 10/31/2023 |
Certification Date | 10/31/2023 |
Medicare PECOS PAC ID | 1759509003 |
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Medicare Enrollment ID | O20190926002060 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619238003 | NPI | - | NPPES |
Provider Name | Gina L Evans |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710270574 PECOS PAC ID: 6901077353 Enrollment ID: I20110915000737 |
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