| Emdr-counseling Pllc | |
|
18911 Hardy Oak Blvd San Antonio TX 78258-4967 | |
| (210) 239-9597 | |
| Not Available |
| Full Name | Emdr-counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 18911 Hardy Oak Blvd, San Antonio, Texas |
| Authorized Official Name and Position | Thomas Efird (OWNER) |
| Authorized Official Contact | 2102399597 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emdr-counseling Pllc 9302 Hazelton Ln San Antonio TX 78251-4742 Ph: (210) 239-9597 | Emdr-counseling Pllc 18911 Hardy Oak Blvd San Antonio TX 78258-4967 Ph: (210) 239-9597 |
| NPI Number | 1013657261 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Medicare PECOS PAC ID | 3476940719 |
|---|---|
| Medicare Enrollment ID | O20220504002748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013657261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Thomas B Efird |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861589590 PECOS PAC ID: 5698863843 Enrollment ID: I20220504002797 |
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