| Set Free Behavioral Center Llc | |
|
627 Altgelt St Comfort TX 78013-2217 | |
| (915) 218-4442 | |
| Not Available |
| Full Name | Set Free Behavioral Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 627 Altgelt St, Comfort, Texas |
| Authorized Official Name and Position | Jesus Adrian Ramirez (OWNER) |
| Authorized Official Contact | 9152184442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Set Free Behavioral Center Llc 627 Altgelt St Comfort TX 78013-2217 Ph: (915) 218-4442 | Set Free Behavioral Center Llc 627 Altgelt St Comfort TX 78013-2217 Ph: (915) 218-4442 |
| NPI Number | 1619726320 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 5496295123 |
|---|---|
| Medicare Enrollment ID | O20240910000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619726320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Jesus Ramirez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447655782 PECOS PAC ID: 6305386038 Enrollment ID: I20240910000024 |
Ever Free Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Allen Rd, Comfort, TX 78013 Phone: 833-425-0037 |