OrganizationMedcare Pediatric Rehab Center, Lp(Medcare Centers For Counseling And Play Therapy)CounselorBehavioral Health & Social Service ProvidersPractice Address12371 S Kirkwood Rd, Stafford, TX 77477-2836(713) 773-5100PECOS EnrollmentBased on the most recent information from CMS, provider Medcare Pediatric Rehab Center, Lp does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1811146517Provider TypeOrganizationFull NameMedcare Pediatric Rehab Center, LpOther NameMedcare Centers For Counseling And Play TherapySubpartYesEnumeration Date9/17/2008Last Updated7/26/2010Contact InformationPractice LocationPractice Address12371 S Kirkwood Rd, Stafford, TX 77477-2836Phone(713) 773-5100Fax(713) 773-5151Mailing LocationMailing Address12371 S Kirkwood Rd, Stafford, TX 77477-2836Phone(713) 773-5100Fax(713) 773-5151Authorized OfficialNameKinkade, Paige (Ceo)Phone(713) 995-9292Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense63953TexasCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense19469TexasCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS41336TexasCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS16360TexasProvider IdentifiersIDDescriptionIssuerID180132602DescriptionMedicaidIssuerUnlistedTexas