| People With Ideas Of Love, Liberty, Acceptance And Respect Pillar | |
|
6406 Mcpherson Rd Ste 2 Laredo TX 78041-6258 | |
| (956) 723-7457 | |
| (956) 704-5155 |
| Full Name | People With Ideas Of Love, Liberty, Acceptance And Respect Pillar |
|---|---|
| Speciality | Counselor |
| Location | 6406 Mcpherson Rd Ste 2, Laredo, Texas |
| Authorized Official Name and Position | Arturo Diaz (OWNER) |
| Authorized Official Contact | 9567237457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| People With Ideas Of Love, Liberty, Acceptance And Respect Pillar 6406 Mcpherson Rd Ste 2 Laredo TX 78041-6258 Ph: (956) 723-7457 | People With Ideas Of Love, Liberty, Acceptance And Respect Pillar 6406 Mcpherson Rd Ste 2 Laredo TX 78041-6258 Ph: (956) 723-7457 |
| NPI Number | 1801317920 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Medicare PECOS PAC ID | 2961742325 |
|---|---|
| Medicare Enrollment ID | O20240124000736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801317920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 39843985 (Texas) | Primary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| Provider Name | Melissa Marie Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801232863 PECOS PAC ID: 0840515953 Enrollment ID: I20160728001902 |
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