| Greater Waco Counseling & Wellness, Pllc | |
|
6801 Sanger Ave Waco TX 76710-7818 | |
| (254) 304-9309 | |
| Not Available |
| Full Name | Greater Waco Counseling & Wellness, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6801 Sanger Ave, Waco, Texas |
| Authorized Official Name and Position | Robyn Hicks (CEO) |
| Authorized Official Contact | 2543049309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Waco Counseling & Wellness, Pllc 6801 Sanger Ave Ste 188c Waco TX 76710-7818 Ph: (254) 304-9309 | Greater Waco Counseling & Wellness, Pllc 6801 Sanger Ave Waco TX 76710-7818 Ph: (254) 304-9309 |
| NPI Number | 1033662317 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 0042507964 |
|---|---|
| Medicare Enrollment ID | O20160921000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033662317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 52036 (Texas) | Primary |
| Provider Name | Robyn Laverne Lee Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801003413 PECOS PAC ID: 1951698877 Enrollment ID: I20160921000693 |
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