| Nancy G. Mayer | |
|
3800 Paluxy Drive Suite 240 Tyler TX 75703-1667 | |
| (903) 283-8729 | |
| (888) 454-9083 |
| Full Name | Nancy G. Mayer |
|---|---|
| Speciality | Counselor |
| Location | 3800 Paluxy Drive, Tyler, Texas |
| Authorized Official Name and Position | Nancy G. Mayer (OWNER) |
| Authorized Official Contact | 9035618955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy G. Mayer 1507 Belmont Dr Tyler TX 75701-3222 Ph: () - | Nancy G. Mayer 3800 Paluxy Drive Suite 240 Tyler TX 75703-1667 Ph: (903) 283-8729 |
| NPI Number | 1336555499 |
|---|---|
| Provider Enumeration Date | 07/09/2014 |
| Last Update Date | 10/08/2015 |
| Medicare PECOS PAC ID | 5193165868 |
|---|---|
| Medicare Enrollment ID | O20240429000680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336555499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 61238 (Texas) | Primary |
| Provider Name | Nancy G Mayer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699181198 PECOS PAC ID: 5991146466 Enrollment ID: I20240515001610 |
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