| Traveling Therapist Pllc | |
|
1225 County Road 522 Nacogdoches TX 75964-8311 | |
| (936) 229-5426 | |
| Not Available |
| Full Name | Traveling Therapist Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1225 County Road 522, Nacogdoches, Texas |
| Authorized Official Name and Position | Lori Melinda Fulton (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 8329621105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Traveling Therapist Pllc 1225 County Road 522 Nacogdoches TX 75964-8311 Ph: (936) 229-5426 | Traveling Therapist Pllc 1225 County Road 522 Nacogdoches TX 75964-8311 Ph: (936) 229-5426 |
| NPI Number | 1417847195 |
|---|---|
| Provider Enumeration Date | 07/05/2025 |
| Last Update Date | 07/05/2025 |
| Certification Date | 07/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417847195 | NPI | - | NPPES |
| 352538801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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