Abigail Justine Goode, | |
1901 Central Dr Ste 160, Bedford, TX 76021-5823 | |
(682) 289-0546 | |
Not Available |
Full Name | Abigail Justine Goode |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1901 Central Dr Ste 160, Bedford, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316660442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 60607 (Texas) | Primary |
Entity Name | Salt And Light Psychological Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003583972 PECOS PAC ID: 3072908565 Enrollment ID: O20220321000133 |
Mailing Address | Practice Location Address |
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Abigail Justine Goode, 6833 Westbury Dr, North Richland Hills, TX 76180-7058 Ph: (817) 707-2801 | Abigail Justine Goode, 1901 Central Dr Ste 160, Bedford, TX 76021-5823 Ph: (682) 289-0546 |
Mrs. Christine J Hamstra, LCSW LMFT MAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Goldhawk Lane, Bedford, TX 76022 Phone: 817-285-0333 Fax: 817-285-0334 | |
Thalia Ross, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1912 Central Dr, Suite A, Bedford, TX 76021 Phone: 817-718-8576 Fax: 817-451-1763 | |
Mr. Gary T Ongley, LPC, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1901 Central Dr, Ste 315, Bedford, TX 76021 Phone: 817-919-7351 Fax: 817-684-9979 | |
Shimetra Jones, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 Airport Fwy Ste 2, Bedford, TX 76021 Phone: 682-445-0431 | |
Cynthia A Cashman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1905 Central Dr, Suite 208, Bedford, TX 76021 Phone: 817-228-9788 Fax: 817-494-8422 | |
Carole Marie Lafreniere, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2904 Shady Knoll Ln, Bedford, TX 76021 Phone: 682-715-5411 Fax: 817-510-3602 |