| Skc Therapy Services Pllc | |
|
255 W Lebanon Ste 224 Frisco TX 75036-3404 | |
| (830) 237-0599 | |
| Not Available |
| Full Name | Skc Therapy Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 255 W Lebanon Ste 224, Frisco, Texas |
| Authorized Official Name and Position | Shannon K Campbell (OWNER) |
| Authorized Official Contact | 9043029376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skc Therapy Services Pllc 5562 Mesa Verde Ct Fort Worth TX 76137-4438 Ph: () - | Skc Therapy Services Pllc 255 W Lebanon Ste 224 Frisco TX 75036-3404 Ph: (830) 237-0599 |
| NPI Number | 1093433989 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 08/17/2022 |
| Certification Date | 08/17/2022 |
| Medicare PECOS PAC ID | 2668857954 |
|---|---|
| Medicare Enrollment ID | O20220922003188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093433989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shannon Kohlenberg Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609414200 PECOS PAC ID: 8527494038 Enrollment ID: I20200131001549 |
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