Alexandria D Licea, LCSW | |
1325 N 63rd St, Waco, TX 76710-4111 | |
(254) 300-7591 | |
Not Available |
Full Name | Alexandria D Licea |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1325 N 63rd St, Waco, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376272468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 60219 (Texas) | Primary |
Entity Name | My Choice Counseling & Wellness, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194348680 PECOS PAC ID: 8729401674 Enrollment ID: O20200710000028 |
Mailing Address | Practice Location Address |
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Alexandria D Licea, LCSW 2115 Stephens Pl Ste 400a, New Braunfels, TX 78130-2167 Ph: (830) 282-7980 | Alexandria D Licea, LCSW 1325 N 63rd St, Waco, TX 76710-4111 Ph: (254) 300-7591 |
Kelli King Guerrero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1105 Jefferson Ave, Waco, TX 76701 Phone: 254-752-3451 Fax: 254-756-3133 | |
Samantha Rae Sophie Stough, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5931 Crosslake Pkwy, Waco, TX 76712 Phone: 254-870-5457 | |
Mrs. Kathleen Paige Cunningham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3300 Pine Ave, Waco, TX 76708 Phone: 706-424-0867 | |
Chelsea Layne Kramer, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 110 S 12th St, Waco, TX 76701 Phone: 254-752-3451 | |
Juliana Del Laboube, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-297-3000 | |
Mrs. Natalie O'connor Qualls, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-752-6581 | |
Ezekiel Coleman Morgan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 Providence Dr, Waco, TX 76707 Phone: 254-313-4200 Fax: 254-313-4549 |