| Spring Grove Counseling | |
|
7109 Fm 2920 Rd Suite 600 Spring TX 77379 | |
| (281) 919-3075 | |
| Not Available |
| Full Name | Spring Grove Counseling |
|---|---|
| Speciality | Counselor |
| Location | 7109 Fm 2920 Rd Suite 600, Spring, Texas |
| Authorized Official Name and Position | Heidi Grover (DIRECTOR) |
| Authorized Official Contact | 2819193075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Grove Counseling 7109 Fm 2920 Rd Suite 600 Spring TX 77379 Ph: () - | Spring Grove Counseling 7109 Fm 2920 Rd Suite 600 Spring TX 77379 Ph: (281) 919-3075 |
| NPI Number | 1134530561 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 05/21/2014 |
| Medicare PECOS PAC ID | 5597983445 |
|---|---|
| Medicare Enrollment ID | O20140905002192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134530561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 62912 (Texas) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| Provider Name | Eugene A Harvie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821198516 PECOS PAC ID: 2163642828 Enrollment ID: I20140930002191 |
| Provider Name | Carolina Luna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194097600 PECOS PAC ID: 6204189962 Enrollment ID: I20181025002093 |
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