| Mesquite Psychotherapy And Consulting Pllc | |
|
507 Denali Pass Ste 601 Cedar Park TX 78613-7980 | |
| (512) 730-9383 | |
| Not Available |
| Full Name | Mesquite Psychotherapy And Consulting Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 507 Denali Pass Ste 601, Cedar Park, Texas |
| Authorized Official Name and Position | Meya Srithapin (MANAGING MEMBER) |
| Authorized Official Contact | 5127309383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesquite Psychotherapy And Consulting Pllc 507 Denali Pass Ste 601 Cedar Park TX 78613-7980 Ph: () - | Mesquite Psychotherapy And Consulting Pllc 507 Denali Pass Ste 601 Cedar Park TX 78613-7980 Ph: (512) 730-9383 |
| NPI Number | 1295484707 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 5395131999 |
|---|---|
| Medicare Enrollment ID | O20220407001626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295484707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Meya Srithapin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902350739 PECOS PAC ID: 4880087691 Enrollment ID: I20220131000494 |
| Provider Name | Dena Nicole Edmondson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972272425 PECOS PAC ID: 1254799729 Enrollment ID: I20230615002725 |
| Provider Name | Jamie Monet Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720758832 PECOS PAC ID: 9234670316 Enrollment ID: I20240916003948 |
| Provider Name | Veronica M Garcia Zeda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659855369 PECOS PAC ID: 5395280028 Enrollment ID: I20250610003828 |
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