| Aaverlee Clinical Associates | |
|
4455 S Padre Island Dr Suite 101 Corpus Christi TX 78411-5101 | |
| (361) 814-2273 | |
| (361) 814-2274 |
| Full Name | Aaverlee Clinical Associates |
|---|---|
| Speciality | Social Worker |
| Location | 4455 S Padre Island Dr, Corpus Christi, Texas |
| Authorized Official Name and Position | James B Pfeiffer (OWNER) |
| Authorized Official Contact | 3618142273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaverlee Clinical Associates Po Box 61274 Corpus Christi TX 78466-1274 Ph: (361) 814-2273 | Aaverlee Clinical Associates 4455 S Padre Island Dr Suite 101 Corpus Christi TX 78411-5101 Ph: (361) 814-2273 |
| NPI Number | 1043429830 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 10/12/2020 |
| Certification Date | 10/12/2020 |
| Medicare PECOS PAC ID | 2264844687 |
|---|---|
| Medicare Enrollment ID | O20201209000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043429830 | NPI | - | NPPES |
| 119744403 | Medicaid | TX | |
| 00S10T | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16509 (Texas) | Primary |
| 106H00000X | Marriage & Family Therapist | 3723 (Texas) | Secondary |
| Provider Name | James B Pfeiffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063566701 PECOS PAC ID: 3870898232 Enrollment ID: I20160223000456 |
Corpus Christi Class Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4230 S. Padre Island Dr., Suite B, Corpus Christi, TX 78411 Phone: 361-855-1886 | |
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