| In Service Of Thee Pllc | |
|
1801 Red Bud Ln Ste B215 Round Rock TX 78664-3813 | |
| (413) 862-9492 | |
| (815) 550-8746 |
| Full Name | In Service Of Thee Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1801 Red Bud Ln Ste B215, Round Rock, Texas |
| Authorized Official Name and Position | Nicholas Bonacci (SOLE MEMBER) |
| Authorized Official Contact | 5125214736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| In Service Of Thee Pllc 1801 Red Bud Ln Ste B215 Round Rock TX 78664-3813 Ph: (413) 862-9492 | In Service Of Thee Pllc 1801 Red Bud Ln Ste B215 Round Rock TX 78664-3813 Ph: (413) 862-9492 |
| NPI Number | 1215671961 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 10/22/2025 |
| Certification Date | 10/22/2025 |
| Medicare PECOS PAC ID | 0446790364 |
|---|---|
| Medicare Enrollment ID | O20240906000680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215671961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Nicholas S Bonacci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437658697 PECOS PAC ID: 3375083041 Enrollment ID: I20240924001125 |
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