Wellformed AI

NPI 1982059283 · live from the CMS NPI Registry

11th Hour Counseling

Social Worker, Clinical in Saginaw, TX. National Provider Identifier 1982059283, active.

NPI record

NPI1982059283 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location949 Sherry Ln, Saginaw, TX 76179
Practice phone817-676-2422
EnumeratedApril 25, 2016
Last updatedApril 25, 2016
Authorized officialCorey Pavelka, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X55382 (TX)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.