| Amy J Aston Lcsw Pc | |
|
416 S Morgan St Granbury TX 76048-1958 | |
| (817) 579-1606 | |
| (817) 579-1654 |
| Full Name | Amy J Aston Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 416 S Morgan St, Granbury, Texas |
| Authorized Official Name and Position | Amy J Aston (COUNSELOR) |
| Authorized Official Contact | 8175791606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy J Aston Lcsw Pc Po Box 579 Granbury TX 76048-0579 Ph: (817) 579-1606 | Amy J Aston Lcsw Pc 416 S Morgan St Granbury TX 76048-1958 Ph: (817) 579-1606 |
| NPI Number | 1093191330 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 11/16/2016 |
| Medicare PECOS PAC ID | 6305152406 |
|---|---|
| Medicare Enrollment ID | O20150903003004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093191330 | NPI | - | NPPES |
| 196948703 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy J Aston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942461389 PECOS PAC ID: 8820141369 Enrollment ID: I20090731000472 |
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