| Intentional Progress Counseling Pllc | |
|
4630 50th St Ste 406 Lubbock TX 79414-3519 | |
| (806) 416-6407 | |
| Not Available |
| Full Name | Intentional Progress Counseling Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4630 50th St Ste 406, Lubbock, Texas |
| Authorized Official Name and Position | Thomas Allen Turnbough (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8064166407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Progress Counseling Pllc 4630 50th St Ste 406 Lubbock TX 79414-3519 Ph: (806) 416-6407 | Intentional Progress Counseling Pllc 4630 50th St Ste 406 Lubbock TX 79414-3519 Ph: (806) 416-6407 |
| NPI Number | 1285439497 |
|---|---|
| Provider Enumeration Date | 02/13/2025 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Medicare PECOS PAC ID | 8628599172 |
|---|---|
| Medicare Enrollment ID | O20250312003845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285439497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Thomas Allen Turnbough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801571690 PECOS PAC ID: 9537680087 Enrollment ID: I20250313001779 |
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