| De-blessed Mental Wellness Pllc | |
|
5900 Balcones Dr # 14969 Austin TX 78731-4257 | |
| (832) 212-0227 | |
| Not Available |
| Full Name | De-blessed Mental Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5900 Balcones Dr # 14969, Austin, Texas |
| Authorized Official Name and Position | Blessing Benjamin (OWNER) |
| Authorized Official Contact | 8322120227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| De-blessed Mental Wellness Pllc 5900 Balcones Dr # 14969 Austin TX 78731-4257 Ph: () - | De-blessed Mental Wellness Pllc 5900 Balcones Dr # 14969 Austin TX 78731-4257 Ph: (832) 212-0227 |
| NPI Number | 1467232447 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Medicare PECOS PAC ID | 3779930268 |
|---|---|
| Medicare Enrollment ID | O20231106000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467232447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Blessing Osewonyemwen Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942985957 PECOS PAC ID: 4688021173 Enrollment ID: I20231107002230 |
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