| Vericare | |
|
603 E. Plantation Dr. Clute TX 77531-5719 | |
| (800) 257-8715 | |
| (800) 819-1655 |
| Full Name | Vericare |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 603 E. Plantation Dr., Clute, Texas |
| Authorized Official Name and Position | Melissa King (DIRECTOR, CREDENTIALING ENROLLMENT) |
| Authorized Official Contact | 8003703651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vericare 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 Ph: (800) 370-3651 | Vericare 603 E. Plantation Dr. Clute TX 77531-5719 Ph: (800) 257-8715 |
| NPI Number | 1538102298 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 07/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538102298 | NPI | - | NPPES |
| 0002CK | Other | TX | BLUE CROSS BLUE SHIELD |
| CB3582 | Other | TX | MEDICARE RAILROAD |
| 136136209 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Grace International Churches And Ministries Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S Lazy Ln, Clute, TX 77531 Phone: 979-265-3590 |