| Therapyseat, Pllc | |
|
18 S Main St Ste 617 Temple TX 76501-7652 | |
| (254) 247-2187 | |
| Not Available |
| Full Name | Therapyseat, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 18 S Main St Ste 617, Temple, Texas |
| Authorized Official Name and Position | Sue Davis (CREDENTIALING) |
| Authorized Official Contact | 7409352343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapyseat, Pllc 18 S Main St Ste 617 Temple TX 76501-7652 Ph: () - | Therapyseat, Pllc 18 S Main St Ste 617 Temple TX 76501-7652 Ph: (254) 247-2187 |
| NPI Number | 1598428484 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Medicare PECOS PAC ID | 0446649701 |
|---|---|
| Medicare Enrollment ID | O20211109000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598428484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Olivia Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821762279 PECOS PAC ID: 1355730615 Enrollment ID: I20211109000452 |
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