Peace Reconnection Care, PLLC
Organization Active NPI Mental Health Counselor · Hockley, TX
NPI 1447828892 · NPPES record last updated Jun 14, 2021
Key facts
- NPI
- 1447828892
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- PEACE RECONNECTION CARE, PLLC
- Practice address
- 16006 Ronda Dale Dr
Hockley, TX 77447-7714 - Phone
- (601) 600-6752
- NPI assigned
- Jun 14, 2021
- Organization subpart
- No
Authorized official
- Name
- Marvshricka Quinn, LCSW
- Title
- Owner
- Phone
- (601) 600-6752
Practitioners 1
-
Marvshricka Quinn, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210615002741 | TX | Part B Supplier - Clinic/Group Practice | 2365842192 |
Receives reassigned benefits from 1 practitioner Practice locations: Cypress, TX |
National Provider Directory
Locations
14150 Huffmeister Rd
Ste 200203
Cypress, TX 77429
Phone (281) 214-0413
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
16006 Ronda Dale Dr
Hockley, TX 77447-7714
Mailing address
16006 Ronda Dale Dr
Hockley, TX 77447-7714
Phone (601) 600-6752
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | N/A |
Other providers in Hockley, TX
- Kelsey Murrell
- Cristina Nanez
- Iyunie Narcisse
- Janie Odems
- Rohan Patankar
- Snigdha Poudyal
- Shala P Powers
- Erika Riopelle
- Tamara Robinson
- Muriel Saltalamachia
All providers in Hockley, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.