| First Baptist Mission Action Inc | |
|
1502 North First St Abilene TX 79601-5602 | |
| (325) 672-9999 | |
| (325) 672-5237 |
| Full Name | First Baptist Mission Action Inc |
|---|---|
| Speciality | Counselor |
| Location | 1502 North First St, Abilene, Texas |
| Authorized Official Name and Position | Mike Brady (REGISTERED AGENT) |
| Authorized Official Contact | 3256735031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Baptist Mission Action Inc 1502 North First St Abilene TX 79601-5602 Ph: (325) 672-9999 | First Baptist Mission Action Inc 1502 North First St Abilene TX 79601-5602 Ph: (325) 672-9999 |
| NPI Number | 1578576799 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Medicare PECOS PAC ID | 7214959121 |
|---|---|
| Medicare Enrollment ID | O20051220000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578576799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michael Mcneil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124312301 PECOS PAC ID: 5294900155 Enrollment ID: I20111205000939 |
| Provider Name | Michael Kesler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750302998 PECOS PAC ID: 7719420553 Enrollment ID: I20240620002833 |
| Provider Name | Mandi Goretska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255620548 PECOS PAC ID: 1355752817 Enrollment ID: I20240621001275 |
| Provider Name | Maria Luisa Trujillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417600735 PECOS PAC ID: 0547703209 Enrollment ID: I20240621003383 |
| Provider Name | Jennifer Ruth Smothermon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669494472 PECOS PAC ID: 5890238562 Enrollment ID: I20240621003828 |
| Provider Name | Elya Hope Whitten |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801144704 PECOS PAC ID: 4789120247 Enrollment ID: I20240722001111 |
| Provider Name | Rhonda Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295892669 PECOS PAC ID: 6305374828 Enrollment ID: I20250113000712 |
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