| Providence Counseling And Consulting Pllc | |
|
2818 Fir Crest Ct Stafford TX 77477-6006 | |
| (713) 487-9595 | |
| (281) 261-8772 |
| Full Name | Providence Counseling And Consulting Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2818 Fir Crest Ct, Stafford, Texas |
| Authorized Official Name and Position | Priye Mukoro (THERAPIST) |
| Authorized Official Contact | 7134879595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Counseling And Consulting Pllc 2818 Fir Crest Ct Stafford TX 77477-6006 Ph: (713) 487-9595 | Providence Counseling And Consulting Pllc 2818 Fir Crest Ct Stafford TX 77477-6006 Ph: (713) 487-9595 |
| NPI Number | 1225859242 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Medicare PECOS PAC ID | 4486182334 |
|---|---|
| Medicare Enrollment ID | O20250107000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225859242 | NPI | - | NPPES |
| Provider Name | Priye T Mukoro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497401806 PECOS PAC ID: 5395273247 Enrollment ID: I20250107000374 |
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