| Still Psychiatry Pllc | |
|
2131 Kirkwood Blvd Ste 100 Southlake TX 76092-1540 | |
| (817) 251-4906 | |
| Not Available |
| Full Name | Still Psychiatry Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2131 Kirkwood Blvd Ste 100, Southlake, Texas |
| Authorized Official Name and Position | Bene Aneke (OWNER) |
| Authorized Official Contact | 5164452227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Still Psychiatry Pllc 3501 Jepsen Dr Apt 3308 Fort Worth TX 76177-2383 Ph: (516) 445-2227 | Still Psychiatry Pllc 2131 Kirkwood Blvd Ste 100 Southlake TX 76092-1540 Ph: (817) 251-4906 |
| NPI Number | 1366183139 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Medicare PECOS PAC ID | 6204223811 |
|---|---|
| Medicare Enrollment ID | O20220429001181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366183139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Bene Aneke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407380363 PECOS PAC ID: 8325306541 Enrollment ID: I20171218000937 |
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