| Beyond The Past Counseling Llc | |
|
2686 Murworth Dr Apt 506 Houston TX 77054-1610 | |
| (832) 452-1993 | |
| (832) 253-1178 |
| Full Name | Beyond The Past Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2686 Murworth Dr Apt 506, Houston, Texas |
| Authorized Official Name and Position | Stephan D White (MEMBER) |
| Authorized Official Contact | 8324521993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beyond The Past Counseling Llc 2686 Murworth Dr Apt 506 Houston TX 77054-1610 Ph: (832) 452-1993 | Beyond The Past Counseling Llc 2686 Murworth Dr Apt 506 Houston TX 77054-1610 Ph: (832) 452-1993 |
| NPI Number | 1205339066 |
|---|---|
| Provider Enumeration Date | 03/16/2018 |
| Last Update Date | 09/05/2025 |
| Certification Date | 09/05/2025 |
| Medicare PECOS PAC ID | 0244581734 |
|---|---|
| Medicare Enrollment ID | O20180921002520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205339066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 56886 (Texas) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| Provider Name | Stephan Darrel White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942706866 PECOS PAC ID: 2062763550 Enrollment ID: I20180924000419 |
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