| Wellmind, Pllc | |
|
11163 La Quinta Pl Ste B100 El Paso TX 79936-5258 | |
| (915) 201-2606 | |
| Not Available |
| Full Name | Wellmind, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 11163 La Quinta Pl Ste B100, El Paso, Texas |
| Authorized Official Name and Position | Temperance L Cervantes (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 9152012606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellmind, Pllc 11163 La Quinta Pl Ste B100 El Paso TX 79936-5258 Ph: (915) 201-2606 | Wellmind, Pllc 11163 La Quinta Pl Ste B100 El Paso TX 79936-5258 Ph: (915) 201-2606 |
| NPI Number | 1477032480 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Medicare PECOS PAC ID | 2062758378 |
|---|---|
| Medicare Enrollment ID | O20190108001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477032480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Griselda Villalobos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821007113 PECOS PAC ID: 0941264824 Enrollment ID: I20041119000331 |
| Provider Name | Jose Castrellon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073605358 PECOS PAC ID: 9436103926 Enrollment ID: I20050309000397 |
| Provider Name | Temperance L Cervantes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518369354 PECOS PAC ID: 7517252331 Enrollment ID: I20160818000666 |
| Provider Name | Katherine Giovas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225572068 PECOS PAC ID: 5890052443 Enrollment ID: I20171206002707 |
| Provider Name | Alicia Richmond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548334717 PECOS PAC ID: 2860889540 Enrollment ID: I20220427002178 |
| Provider Name | Juanita Mildred Rubio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831800960 PECOS PAC ID: 9133599681 Enrollment ID: I20221228001424 |
| Provider Name | Marisol Lara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215614961 PECOS PAC ID: 2668812488 Enrollment ID: I20240426002237 |
| Provider Name | Jessica Chavez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851129688 PECOS PAC ID: 0840709861 Enrollment ID: I20250602002134 |
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