| Tmho Llc Texasmentalhealthonline | |
|
4812 Maplewood Ave # 76308 Wichita Falls TX 76308-5312 | |
| (940) 432-8631 | |
| Not Available |
| Full Name | Tmho Llc Texasmentalhealthonline |
|---|---|
| Speciality | Counselor |
| Location | 4812 Maplewood Ave # 76308, Wichita Falls, Texas |
| Authorized Official Name and Position | Martin K Shaw (CEO/SOLE OWNER) |
| Authorized Official Contact | 9407331825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmho Llc Texasmentalhealthonline 4812 Maplewood Ave Wichita Falls TX 76308-5312 Ph: (940) 432-8631 | Tmho Llc Texasmentalhealthonline 4812 Maplewood Ave # 76308 Wichita Falls TX 76308-5312 Ph: (940) 432-8631 |
| NPI Number | 1710342258 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 09/02/2025 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 8426595208 |
|---|---|
| Medicare Enrollment ID | O20240730002786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710342258 | NPI | - | NPPES |
| 357470901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Martin K Shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215178926 PECOS PAC ID: 9931558483 Enrollment ID: I20240304003166 |
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