Usawa Wellness Counseling | |
11901 Toepperwein Suite 1202 Live Oak TX 78233-3159 | |
(210) 951-3479 | |
(833) 672-2760 |
Full Name | Usawa Wellness Counseling |
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Speciality | Counselor |
Location | 11901 Toepperwein, Live Oak, Texas |
Authorized Official Name and Position | Lesley Lanier Smith (OWNER) |
Authorized Official Contact | 2109513479 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Usawa Wellness Counseling 11901 Toepperwein Suite 1202 Live Oak TX 78233-3159 Ph: (210) 951-3479 | Usawa Wellness Counseling 11901 Toepperwein Suite 1202 Live Oak TX 78233-3159 Ph: (210) 951-3479 |
NPI Number | 1588185821 |
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Provider Enumeration Date | 06/27/2017 |
Last Update Date | 06/11/2024 |
Certification Date | 06/11/2024 |
Medicare PECOS PAC ID | 1557788148 |
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Medicare Enrollment ID | O20240122001032 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588185821 | NPI | - | NPPES |
392877203 | Medicaid | TX |
Provider Name | Alexcis Grushinski |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609340512 PECOS PAC ID: 9931599362 Enrollment ID: I20211129001974 |
Provider Name | Lesley Lanier Smith |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1699141192 PECOS PAC ID: 2062864408 Enrollment ID: I20240122001363 |
Provider Name | Virginia Bralley Dalton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104249986 PECOS PAC ID: 8921442070 Enrollment ID: I20240216003445 |
Provider Name | Vivian Suniga |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396441549 PECOS PAC ID: 7113361148 Enrollment ID: I20240219001084 |
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