| Gardner Industries, Llc | |
|
1519 Florence Rd Ste 5 Killeen TX 76541-7904 | |
| (254) 300-7798 | |
| (254) 300-9938 |
| Full Name | Gardner Industries, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1519 Florence Rd Ste 5, Killeen, Texas |
| Authorized Official Name and Position | Craig Edgar Gardner (CO-OWNER) |
| Authorized Official Contact | 2542200671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gardner Industries, Llc 331 Indian Trl Ste 109 Harker Heights TX 76548-7201 Ph: (254) 300-7798 | Gardner Industries, Llc 1519 Florence Rd Ste 5 Killeen TX 76541-7904 Ph: (254) 300-7798 |
| NPI Number | 1932981693 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 06/26/2025 |
| Certification Date | 06/26/2025 |
| Medicare PECOS PAC ID | 2163873340 |
|---|---|
| Medicare Enrollment ID | O20240111004985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932981693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Craig Edgar Gardner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1871026633 PECOS PAC ID: 4981055167 Enrollment ID: I20240111004989 |
| Provider Name | Maegan C Mcneese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326801069 PECOS PAC ID: 7517305667 Enrollment ID: I20240409001291 |
| Provider Name | Ashleigh Hodyniak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669071239 PECOS PAC ID: 9234669565 Enrollment ID: I20250214003309 |
| Provider Name | Sarah Elisabeth Delozier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245912005 PECOS PAC ID: 3072033307 Enrollment ID: I20250218000206 |
| Provider Name | Meagan Hemenway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285453001 PECOS PAC ID: 1759801996 Enrollment ID: I20250219000444 |
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