| Southeast Texas Counseling & Assessment Services, Pllc | |
|
2626 Calder St Ste 204 Beaumont TX 77702-1926 | |
| (409) 504-4596 | |
| Not Available |
| Full Name | Southeast Texas Counseling & Assessment Services, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2626 Calder St Ste 204, Beaumont, Texas |
| Authorized Official Name and Position | Sean A Martin (OWNER) |
| Authorized Official Contact | 4095044596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Texas Counseling & Assessment Services, Pllc 11126 Gaulding Rd Beaumont TX 77705-9440 Ph: (409) 504-4596 | Southeast Texas Counseling & Assessment Services, Pllc 2626 Calder St Ste 204 Beaumont TX 77702-1926 Ph: (409) 504-4596 |
| NPI Number | 1093348443 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 06/29/2020 |
| Certification Date | 06/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093348443 | NPI | - | NPPES |
| 409773501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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