| Reclamation Counseling Center, Pc | |
|
506 Glascow St Victoria TX 77904-1406 | |
| (361) 576-3385 | |
| Not Available |
| Full Name | Reclamation Counseling Center, Pc |
|---|---|
| Speciality | Counselor |
| Location | 506 Glascow St, Victoria, Texas |
| Authorized Official Name and Position | Wendy Colleen Holder (DIRECTOR) |
| Authorized Official Contact | 3615763385 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reclamation Counseling Center, Pc 506 Glascow St Victoria TX 77904-1406 Ph: (361) 576-3385 | Reclamation Counseling Center, Pc 506 Glascow St Victoria TX 77904-1406 Ph: (361) 576-3385 |
| NPI Number | 1922117910 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 11/16/2023 |
| Certification Date | 11/16/2023 |
| Medicare PECOS PAC ID | 7113987066 |
|---|---|
| Medicare Enrollment ID | O20041014000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922117910 | NPI | - | NPPES |
| 080282901 | Medicaid | TX | |
| 0098EF | Other | TX | BLUECROSS/BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 09268 (Texas) | Primary |
| Provider Name | Wendy Colleen Holder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962724849 PECOS PAC ID: 2466800206 Enrollment ID: I20231204003627 |
| Provider Name | Carol Wendel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689355059 PECOS PAC ID: 2365890100 Enrollment ID: I20231204003659 |
| Provider Name | April Hall Trevino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649922147 PECOS PAC ID: 8820446602 Enrollment ID: I20231205001468 |
| Provider Name | John Jude Lenihan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225367394 PECOS PAC ID: 5991153777 Enrollment ID: I20231205001554 |
| Provider Name | Margie Vancleave |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558478669 PECOS PAC ID: 0345698130 Enrollment ID: I20231205001615 |
| Provider Name | Shelby Lyn Rodgers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588287783 PECOS PAC ID: 5799133583 Enrollment ID: I20231205001674 |
| Provider Name | Shannon Dale Holder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336298165 PECOS PAC ID: 1557719390 Enrollment ID: I20250515000178 |
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