|
| |
|
1150 Whitley Rd Keller TX 76248-3038 | |
| (800) 257-8715 | |
| (800) 819-1655 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1150 Whitley Rd, Keller, 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 |
|---|---|
55 Hatchetts Hill Rd Old Lyme CT 06371-1534 Ph: (800) 370-3651 | 1150 Whitley Rd Keller TX 76248-3038 Ph: (800) 257-8715 |
| NPI Number | 1699723007 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 07/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699723007 | NPI | - | NPPES |
| 136136214 | Medicaid | TX | |
| CB3582 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Crawford Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1664 Keller Pkwy Ste 102, Keller, TX 76248 Phone: 817-601-5540 | |
The Missing Peace Autism Therapy Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 Keller Pkwy, Suite B302, Keller, TX 76248 Phone: 317-989-8032 | |
Hosanna Learning Solutions Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 832 Keller Smithfield Rd S, Keller, TX 76248 Phone: 302-983-1125 | |
Alive And Well Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 S Main St, Keller, TX 76248 Phone: 817-944-7871 | |
Geriatric Mental Health Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Whitley Rd, Keller, TX 76248 Phone: 817-379-0795 | |
Katharos Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 E Hill St, Keller, TX 76248 Phone: 817-360-9806 |