Organization
VERICARE, P.C.
Active
Other names
VeriCare
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KING (DIRECTOR, CREDENTIALING ENROLLMENT)
(800) 370-3651
Entity
Organization
Contact information
Practice address
603 E. PLANTATION DR., CLUTE, TX 77531-5719
(800) 257-8715
(800) 819-1655
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002CK
BLUE CROSS BLUE SHIELD
TX
05
—
136136209
—
TX
01
—
CB3582
MEDICARE RAILROAD
TX
Enumeration date
06/13/2006
Last updated
07/10/2017
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