| Meadows Psychotherapy & Assessment, Pllc | |
|
5205 S Mccoll St Edinburg TX 78539 | |
| (956) 917-9301 | |
| (956) 265-1358 |
| Full Name | Meadows Psychotherapy & Assessment, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 5205 S Mccoll St, Edinburg, Texas |
| Authorized Official Name and Position | Axel Bolanos (PRESIDENT) |
| Authorized Official Contact | 9569179301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadows Psychotherapy & Assessment, Pllc 5205 S Mccoll Rd Edinburg TX 78539-7861 Ph: (956) 917-9301 | Meadows Psychotherapy & Assessment, Pllc 5205 S Mccoll St Edinburg TX 78539 Ph: (956) 917-9301 |
| NPI Number | 1013725084 |
|---|---|
| Provider Enumeration Date | 12/23/2024 |
| Last Update Date | 06/24/2025 |
| Certification Date | 06/04/2025 |
| Medicare PECOS PAC ID | 8729503933 |
|---|---|
| Medicare Enrollment ID | O20250421002128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013725084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Axel F Bolanos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558045195 PECOS PAC ID: 9638694847 Enrollment ID: I20250421002647 |
| Provider Name | Jessica Viviann Deron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629507751 PECOS PAC ID: 4082130232 Enrollment ID: I20250430001705 |
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