| Wellmind, Pllc | |
|
1316 N Yarbrough Dr Ste 2b El Paso TX 79925-7803 | |
| (915) 637-6147 | |
| Not Available |
| Full Name | Wellmind, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1316 N Yarbrough Dr, El Paso, Texas |
| Authorized Official Name and Position | Temperance L Johnson (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 1316 N Yarbrough Dr Ste 2b El Paso TX 79925-7803 Ph: (915) 637-6147 | Wellmind, Pllc 1316 N Yarbrough Dr Ste 2b El Paso TX 79925-7803 Ph: (915) 637-6147 |
| NPI Number | 1477032480 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 08/09/2018 |
| Medicare PECOS PAC ID | 2062758378 |
|---|---|
| Medicare Enrollment ID | O20190108001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477032480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37333 (Texas) | 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 | Temperance Louise Johnson |
|---|---|
| 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 |
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