| Wales Counseling Center, Pllc | |
|
2000 E Lamar Blvd Suite 600 Arlington TX 76006-7346 | |
| (214) 519-9473 | |
| Not Available |
| Full Name | Wales Counseling Center, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2000 E Lamar Blvd, Arlington, Texas |
| Authorized Official Name and Position | Sedrick Wales Jackson (OWNER) |
| Authorized Official Contact | 2145199473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wales Counseling Center, Pllc 2000 E Lamar Blvd Suite 600 Arlington TX 76006-7346 Ph: (214) 519-9473 | Wales Counseling Center, Pllc 2000 E Lamar Blvd Suite 600 Arlington TX 76006-7346 Ph: (214) 519-9473 |
| NPI Number | 1194958769 |
|---|---|
| Provider Enumeration Date | 08/31/2009 |
| Last Update Date | 11/23/2011 |
| Medicare PECOS PAC ID | 0143517888 |
|---|---|
| Medicare Enrollment ID | O20160923002032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194958769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 41529 (Texas) | Primary |
| Provider Name | Sedrick Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811443039 PECOS PAC ID: 9032406772 Enrollment ID: I20161202000694 |
| Provider Name | Evelyn Salazar Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497441588 PECOS PAC ID: 1254789191 Enrollment ID: I20231202000361 |
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