| Connect And Restore Therapy, Llc | |
|
10306 Nolan Dr Tyler TX 75709-4512 | |
| (903) 200-9540 | |
| Not Available |
| Full Name | Connect And Restore Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10306 Nolan Dr, Tyler, Texas |
| Authorized Official Name and Position | Stacy Huddleston (OWNER) |
| Authorized Official Contact | 9032009540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connect And Restore Therapy, Llc 10306 Nolan Dr Tyler TX 75709-4512 Ph: (903) 200-9540 | Connect And Restore Therapy, Llc 10306 Nolan Dr Tyler TX 75709-4512 Ph: (903) 200-9540 |
| NPI Number | 1699565721 |
|---|---|
| Provider Enumeration Date | 05/12/2025 |
| Last Update Date | 05/12/2025 |
| Certification Date | 05/12/2025 |
| Medicare PECOS PAC ID | 4789103664 |
|---|---|
| Medicare Enrollment ID | O20250522003635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699565721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stacy Huddleston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255121356 PECOS PAC ID: 5698294577 Enrollment ID: I20250522003648 |
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