Kortsens Changed Mindsets | |
1790 N Lee Trevino Dr Ste 504 El Paso TX 79936-4558 | |
(915) 626-9765 | |
Not Available |
Full Name | Kortsens Changed Mindsets |
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Speciality | Counselor |
Location | 1790 N Lee Trevino Dr Ste 504, El Paso, Texas |
Authorized Official Name and Position | Ayodelli Whyte (OWNER) |
Authorized Official Contact | 9156269765 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kortsens Changed Mindsets 1790 N Lee Trevino Dr Ste 504 El Paso TX 79936-4558 Ph: (915) 626-9765 | Kortsens Changed Mindsets 1790 N Lee Trevino Dr Ste 504 El Paso TX 79936-4558 Ph: (915) 626-9765 |
NPI Number | 1144050410 |
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Provider Enumeration Date | 08/02/2024 |
Last Update Date | 08/02/2024 |
Certification Date | 08/02/2024 |
Medicare PECOS PAC ID | 9032645056 |
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Medicare Enrollment ID | O20241212004489 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144050410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Ayodelli Mhc Whyte |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1063286847 PECOS PAC ID: 0941736961 Enrollment ID: I20241212004504 |
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