| Mending Minds Counseling, Pllc | |
|
5030 Holly Rd Ste A Corpus Christi TX 78411-4759 | |
| (361) 434-0421 | |
| Not Available |
| Full Name | Mending Minds Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 5030 Holly Rd Ste A, Corpus Christi, Texas |
| Authorized Official Name and Position | Trish Guerrero (MANAGING AGENT) |
| Authorized Official Contact | 3615224710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mending Minds Counseling, Pllc 989 Santa Cruz Ln Corpus Christi TX 78415-4485 Ph: (361) 522-4710 | Mending Minds Counseling, Pllc 5030 Holly Rd Ste A Corpus Christi TX 78411-4759 Ph: (361) 434-0421 |
| NPI Number | 1629769872 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Medicare PECOS PAC ID | 0840643912 |
|---|---|
| Medicare Enrollment ID | O20240125002258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629769872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Trish Guerrero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568150209 PECOS PAC ID: 1759734825 Enrollment ID: I20240125002492 |
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