| Impact Healthcare And Wellness | |
|
7118 Champions Centre Estate Dr Houston TX 77069-2347 | |
| (832) 432-0303 | |
| Not Available |
| Full Name | Impact Healthcare And Wellness |
|---|---|
| Speciality | Case Management |
| Location | 7118 Champions Centre Estate Dr, Houston, Texas |
| Authorized Official Name and Position | Danielle S. Patton (LICENSE PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8324320303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Healthcare And Wellness 7118 Champions Centre Estate Dr Houston TX 77069-2347 Ph: (832) 814-6167 | Impact Healthcare And Wellness 7118 Champions Centre Estate Dr Houston TX 77069-2347 Ph: (832) 432-0303 |
| NPI Number | 1073257325 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Medicare PECOS PAC ID | 6507389327 |
|---|---|
| Medicare Enrollment ID | O20250402000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073257325 | NPI | - | NPPES |
| 87-8562783 | Other | TX | BLUE CROSS BLUE SHIELD |
| 878562783 | Other | TX | AMERIGROUP |
| Provider Name | Danielle S Patton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679158950 PECOS PAC ID: 7315460136 Enrollment ID: I20250402000266 |
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