The Adolescent Center And Mental Health Services, Pllc | |
3730 Kirby Dr Ste 904 Houston TX 77098-3994 | |
(832) 484-2635 | |
(832) 202-2479 |
Full Name | The Adolescent Center And Mental Health Services, Pllc |
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Speciality | Psychologist |
Location | 3730 Kirby Dr Ste 904, Houston, Texas |
Authorized Official Name and Position | Valerie Darice Jackson (CEO) |
Authorized Official Contact | 8324842635 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Adolescent Center And Mental Health Services, Pllc 3730 Kirby Dr Ste 904 Houston TX 77098-3994 Ph: (832) 484-2635 | The Adolescent Center And Mental Health Services, Pllc 3730 Kirby Dr Ste 904 Houston TX 77098-3994 Ph: (832) 484-2635 |
NPI Number | 1578953857 |
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Provider Enumeration Date | 01/26/2015 |
Last Update Date | 04/11/2018 |
Medicare PECOS PAC ID | 6204151913 |
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Medicare Enrollment ID | O20150220000558 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578953857 | NPI | - | NPPES |
345752501 | Medicaid | TX |
Provider Name | Paula Ann Moore Wilson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1770734006 PECOS PAC ID: 0143407940 Enrollment ID: I20110603000270 |
Provider Name | Tioana M Maxwell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1356574743 PECOS PAC ID: 3678616612 Enrollment ID: I20131230000910 |
Provider Name | Akalita A Ross |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1114338670 PECOS PAC ID: 8628394590 Enrollment ID: I20150312000464 |
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