| New Hope Counsleing Center | |
|
1127 Main St Ste 100 Kerrville TX 78028-3581 | |
| (830) 257-3009 | |
| Not Available |
| Full Name | New Hope Counsleing Center |
|---|---|
| Speciality | Counselor |
| Location | 1127 Main St Ste 100, Kerrville, Texas |
| Authorized Official Name and Position | Brenda Fudge (DIRECTOR) |
| Authorized Official Contact | 8302573009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Counsleing Center 1127 Main St Ste 100 Kerrville TX 78028-3581 Ph: (830) 257-3009 | New Hope Counsleing Center 1127 Main St Ste 100 Kerrville TX 78028-3581 Ph: (830) 257-3009 |
| NPI Number | 1366440737 |
|---|---|
| Provider Enumeration Date | 07/11/2005 |
| Last Update Date | 02/12/2019 |
| Medicare PECOS PAC ID | 1456309970 |
|---|---|
| Medicare Enrollment ID | O20050111000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366440737 | NPI | - | NPPES |
| 0037GT | Other | TX | BLUE CROSS BLUE SHIELD |
| 171632601 | Medicaid | TX | |
| 7636153 | Other | TX | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 18662 (Texas) | Primary |
| Provider Name | Patricia Jane Prather |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891072211 PECOS PAC ID: 0446426571 Enrollment ID: I20111220000563 |
| Provider Name | Wanda L Sutton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669925202 PECOS PAC ID: 8325325376 Enrollment ID: I20170501001554 |
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