| Big Couch Therapy | |
|
1615 W Abram St Ste 200h Arlington TX 76013-1788 | |
| (817) 676-1050 | |
| Not Available |
| Full Name | Big Couch Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 1615 W Abram St Ste 200h, Arlington, Texas |
| Authorized Official Name and Position | Shimetra Jones (OWNER) |
| Authorized Official Contact | 8176761050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Couch Therapy 1615 W Abram St Ste 200h Arlington TX 76013-1788 Ph: () - | Big Couch Therapy 1615 W Abram St Ste 200h Arlington TX 76013-1788 Ph: (817) 676-1050 |
| NPI Number | 1225812381 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Medicare PECOS PAC ID | 8123478252 |
|---|---|
| Medicare Enrollment ID | O20240102001251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225812381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shimetra Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164121430 PECOS PAC ID: 1355791492 Enrollment ID: I20240116000978 |
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