| Connection To Recovery, Llc | |
|
14038 China Spring Rd # 13 China Spring TX 76633-3450 | |
| (512) 334-6449 | |
| (512) 212-7170 |
| Full Name | Connection To Recovery, Llc |
|---|---|
| Speciality | Counselor |
| Location | 14038 China Spring Rd # 13, China Spring, Texas |
| Authorized Official Name and Position | Rosemary Lacy (STRATEGIC PARTNERSHIPS) |
| Authorized Official Contact | 8327386309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connection To Recovery, Llc Po Box 13 China Spring TX 76633-0013 Ph: (512) 334-6449 | Connection To Recovery, Llc 14038 China Spring Rd # 13 China Spring TX 76633-3450 Ph: (512) 334-6449 |
| NPI Number | 1598317042 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 02/21/2023 |
| Certification Date | 12/08/2022 |
| Medicare PECOS PAC ID | 7416374491 |
|---|---|
| Medicare Enrollment ID | O20200806000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598317042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Susan Laura Rhodes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144497637 PECOS PAC ID: 0446325898 Enrollment ID: I20080819000570 |
| Provider Name | Derrel Wayne Jeffrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497827836 PECOS PAC ID: 5395040174 Enrollment ID: I20160217000737 |
| Provider Name | Amanda Gayle Ibanez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326569666 PECOS PAC ID: 4789950270 Enrollment ID: I20171027002508 |
| Provider Name | Ashley M Pitts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154838357 PECOS PAC ID: 3274893854 Enrollment ID: I20180130000546 |
| Provider Name | Steven Wayne Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760071088 PECOS PAC ID: 0143626457 Enrollment ID: I20210913001919 |
| Provider Name | Candice Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073182689 PECOS PAC ID: 2567820699 Enrollment ID: I20230622001909 |
| Provider Name | Melissa Hay Ishio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578290631 PECOS PAC ID: 2062870025 Enrollment ID: I20230622003611 |
| Provider Name | William Christopher Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891405346 PECOS PAC ID: 2062860331 Enrollment ID: I20231127002444 |
| Provider Name | William Paul Buckingham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225347503 PECOS PAC ID: 7517316854 Enrollment ID: I20231212000536 |
| Provider Name | Allison Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316562275 PECOS PAC ID: 1557712197 Enrollment ID: I20240109001223 |
| Provider Name | Nancy Dominguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871223420 PECOS PAC ID: 5799136214 Enrollment ID: I20240109004248 |
| Provider Name | Nicole Ree Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811631724 PECOS PAC ID: 4587015003 Enrollment ID: I20240109004344 |
| Provider Name | Tamara Segars Ott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164134409 PECOS PAC ID: 8123479516 Enrollment ID: I20240110002283 |
| Provider Name | Linda Owen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508405267 PECOS PAC ID: 4486001492 Enrollment ID: I20240215002199 |
| Provider Name | Samantha Grochoske |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982319737 PECOS PAC ID: 7517303035 Enrollment ID: I20240306004467 |
Autism Central Therapy, Pllc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Elco Ln, China Spring, TX 76633 Phone: 254-722-5236 Fax: 254-836-0690 | |
Little Behavior Consulting In Waco, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1327 Quail Haven Rd, China Spring, TX 76633 Phone: 254-717-1430 |