| Center For Counseling And Wellbeing Of Northeast Texas Pllc | |
|
101 King Plz Ste D Commerce TX 75428-3734 | |
| (903) 375-0048 | |
| (903) 246-3126 |
| Full Name | Center For Counseling And Wellbeing Of Northeast Texas Pllc |
|---|---|
| Speciality | Counselor |
| Location | 101 King Plz Ste D, Commerce, Texas |
| Authorized Official Name and Position | Nicholas Paul Patras (OWNER/PROVIDER) |
| Authorized Official Contact | 9033750048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Counseling And Wellbeing Of Northeast Texas Pllc Po Box 1316 Commerce TX 75429-1316 Ph: (903) 375-0048 | Center For Counseling And Wellbeing Of Northeast Texas Pllc 101 King Plz Ste D Commerce TX 75428-3734 Ph: (903) 375-0048 |
| NPI Number | 1366132664 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 08/17/2024 |
| Certification Date | 08/17/2024 |
| Medicare PECOS PAC ID | 4082145586 |
|---|---|
| Medicare Enrollment ID | O20241008004490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366132664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Nicholas Paul Patras |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760055917 PECOS PAC ID: 5991236499 Enrollment ID: I20241008004502 |
Practical Wisdom Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 King Plz Ste D, Commerce, TX 75428 Phone: 214-714-8021 |