Champions Christian Counseling Center L.l.c | |
333 S Cherry St Tomball TX 77375-6614 | |
(281) 357-4111 | |
Not Available |
Full Name | Champions Christian Counseling Center L.l.c |
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Speciality | Counselor |
Location | 333 S Cherry St, Tomball, Texas |
Authorized Official Name and Position | Paula H. Whitaker (MINISTRY DIRECTOR & COUNSELOR) |
Authorized Official Contact | 2813574111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Champions Christian Counseling Center L.l.c 333 S Cherry St Tomball TX 77375-6614 Ph: (281) 357-4111 | Champions Christian Counseling Center L.l.c 333 S Cherry St Tomball TX 77375-6614 Ph: (281) 357-4111 |
NPI Number | 1952519332 |
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Provider Enumeration Date | 05/18/2007 |
Last Update Date | 10/17/2011 |
Medicare PECOS PAC ID | 3274568555 |
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Medicare Enrollment ID | O20110919000214 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952519332 | NPI | - | NPPES |
3394533 | Other | TX | AETNA INSURANCE PPO |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 59667 (Texas) | Primary |
Provider Name | Kimberley E Loken |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356471502 PECOS PAC ID: 0648367284 Enrollment ID: I20071030000347 |
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