| M2jc Psychological Services Pllc | |
|
8103 Purple Aster Pass Lago Vista TX 78645-2294 | |
| (210) 844-7028 | |
| Not Available |
| Full Name | M2jc Psychological Services Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8103 Purple Aster Pass, Lago Vista, Texas |
| Authorized Official Name and Position | Michael David Farjellah (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2108447028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M2jc Psychological Services Pllc 8103 Purple Aster Pass Lago Vista TX 78645-2294 Ph: (210) 844-7028 | M2jc Psychological Services Pllc 8103 Purple Aster Pass Lago Vista TX 78645-2294 Ph: (210) 844-7028 |
| NPI Number | 1124847959 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 0547797722 |
|---|---|
| Medicare Enrollment ID | O20241230002298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124847959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michael David Farjellah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447400478 PECOS PAC ID: 9436686821 Enrollment ID: I20241224001640 |
The Guide Counseling And Psychotherapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Owens Ln, Lago Vista, TX 78645 Phone: 512-431-0567 | |
Hawthorn Counseling Center, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 Cimmaron Trl, Lago Vista, TX 78645 Phone: 832-482-7802 |