| New Patterns Of Perception Llc | |
|
4217 Altamesa Blvd Fort Worth TX 76133-5401 | |
| (972) 430-1006 | |
| (972) 833-1006 |
| Full Name | New Patterns Of Perception Llc |
|---|---|
| Speciality | Counselor |
| Location | 4217 Altamesa Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Kurt Billups (MANAGER) |
| Authorized Official Contact | 9724306706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Patterns Of Perception Llc 4217 Altamesa Blvd Fort Worth TX 76133-5401 Ph: (972) 430-6706 | New Patterns Of Perception Llc 4217 Altamesa Blvd Fort Worth TX 76133-5401 Ph: (972) 430-1006 |
| NPI Number | 1053071548 |
|---|---|
| Provider Enumeration Date | 12/23/2021 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/23/2021 |
| Medicare PECOS PAC ID | 4284071846 |
|---|---|
| Medicare Enrollment ID | O20240319002825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053071548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kurt Billups |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720564768 PECOS PAC ID: 5193162758 Enrollment ID: I20240319002929 |
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