| Hampton Wellness Center, Pllc | |
|
2000 E Lamar Blvd Ste 600 Arlington TX 76006-7361 | |
| (817) 460-5575 | |
| Not Available |
| Full Name | Hampton Wellness Center, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2000 E Lamar Blvd Ste 600, Arlington, Texas |
| Authorized Official Name and Position | Phillip Hampton (OWNER) |
| Authorized Official Contact | 8174605575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Wellness Center, Pllc 2000 E Lamar Blvd Ste 600 Arlington TX 76006-7361 Ph: (817) 460-5575 | Hampton Wellness Center, Pllc 2000 E Lamar Blvd Ste 600 Arlington TX 76006-7361 Ph: (817) 460-5575 |
| NPI Number | 1245866144 |
|---|---|
| Provider Enumeration Date | 03/23/2020 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Medicare PECOS PAC ID | 2860814076 |
|---|---|
| Medicare Enrollment ID | O20200617000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245866144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Phillip T Hampton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992283428 PECOS PAC ID: 8022430388 Enrollment ID: I20200617000355 |
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