| Earle Counseling & Professional Services | |
|
1043 Chesapeake Dr Mansfield TX 76063-6310 | |
| (817) 988-7964 | |
| Not Available |
| Full Name | Earle Counseling & Professional Services |
|---|---|
| Speciality | Counselor |
| Location | 1043 Chesapeake Dr, Mansfield, Texas |
| Authorized Official Name and Position | Guy Earle (OWNER) |
| Authorized Official Contact | 8179887964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Earle Counseling & Professional Services 1043 Chesapeake Dr Mansfield TX 76063-6310 Ph: (817) 988-7964 | Earle Counseling & Professional Services 1043 Chesapeake Dr Mansfield TX 76063-6310 Ph: (817) 988-7964 |
| NPI Number | 1699508770 |
|---|---|
| Provider Enumeration Date | 08/23/2024 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 7012437304 |
|---|---|
| Medicare Enrollment ID | O20250217002106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699508770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Guy Edward Earle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710217427 PECOS PAC ID: 0547780843 Enrollment ID: I20250217002332 |
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