| Healthy Thoughts For Growth Counseling Llc | |
|
1119 Commercial St Emporia KS 66801-2920 | |
| (620) 757-9399 | |
| (785) 588-4475 |
| Full Name | Healthy Thoughts For Growth Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1119 Commercial St, Emporia, Kansas |
| Authorized Official Name and Position | Ana I Vallecillos (OWNER) |
| Authorized Official Contact | 6207579399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Thoughts For Growth Counseling Llc 1119 Commercial St Emporia KS 66801-2920 Ph: (620) 757-9399 | Healthy Thoughts For Growth Counseling Llc 1119 Commercial St Emporia KS 66801-2920 Ph: (620) 757-9399 |
| NPI Number | 1851130470 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 9739616111 |
|---|---|
| Medicare Enrollment ID | O20241224000942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851130470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Ana Ivette Vallecillos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952874356 PECOS PAC ID: 0648707026 Enrollment ID: I20241224000989 |
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