| Sugar Land Counseling Center, P.c. | |
|
4665 Sweetwater Blvd Suite 110 Sugar Land TX 77479-3135 | |
| (832) 876-3232 | |
| Not Available |
| Full Name | Sugar Land Counseling Center, P.c. |
|---|---|
| Speciality | Counselor |
| Location | 4665 Sweetwater Blvd, Sugar Land, Texas |
| Authorized Official Name and Position | Kiran Mishra (PSYCHOLOGIST) |
| Authorized Official Contact | 8328763232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sugar Land Counseling Center, P.c. 4665 Sweetwater Blvd Suite 110 Sugar Land TX 77479-3135 Ph: (832) 876-3232 | Sugar Land Counseling Center, P.c. 4665 Sweetwater Blvd Suite 110 Sugar Land TX 77479-3135 Ph: (832) 876-3232 |
| NPI Number | 1033556535 |
|---|---|
| Provider Enumeration Date | 05/24/2013 |
| Last Update Date | 05/08/2017 |
| Medicare PECOS PAC ID | 2365729241 |
|---|---|
| Medicare Enrollment ID | O20170502000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033556535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 31131 (Texas) | Primary |
| 103T00000X | Psychologist | 31131 (Texas) | Secondary |
| Provider Name | Deborah D Hale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487607917 PECOS PAC ID: 0244242220 Enrollment ID: I20060609000087 |
| Provider Name | Renata L Nero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679895999 PECOS PAC ID: 2567594807 Enrollment ID: I20100721000918 |
| Provider Name | Kiran D Mishra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720180631 PECOS PAC ID: 9133440852 Enrollment ID: I20150608000070 |
| Provider Name | Balwindar Kaur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104104579 PECOS PAC ID: 0547521551 Enrollment ID: I20180307001212 |
| Provider Name | Jennifer E Norten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720115827 PECOS PAC ID: 9638419146 Enrollment ID: I20190320001459 |
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