Andrea Ellison, LCSW | |
700 S Palestine St, Athens, TX 75751-3342 | |
(903) 675-9570 | |
(903) 675-9577 |
Full Name | Andrea Ellison |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 700 S Palestine St, Athens, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093402380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 38920 (Texas) | Primary |
Entity Name | East Texas Psychological Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093029951 PECOS PAC ID: 3274702899 Enrollment ID: O20110816000096 |
Mailing Address | Practice Location Address |
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Andrea Ellison, LCSW Po Box 2536, Athens, TX 75751-7536 Ph: (903) 675-9570 | Andrea Ellison, LCSW 700 S Palestine St, Athens, TX 75751-3342 Ph: (903) 675-9570 |
Mrs. Brenda Joy Mcbride, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 627 S Palestine St, Athens, TX 75751 Phone: 903-245-4379 Fax: 903-852-4286 | |
Romya Turner, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6901 State Highway 19 S, Athens, TX 75751 Phone: 903-675-8541 | |
Mr. John Barrett Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 714 E Tyler St, Athens, TX 75751 Phone: 903-477-8805 | |
Paula S Olive, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 S Palestine St, Athens, TX 75751 Phone: 903-675-9570 Fax: 903-675-9577 | |
Mrs. Margaret Summer Allan-wilson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 600 S Palestine St, # 201, Athens, TX 75751 Phone: 903-681-4871 | |
Manda Herring, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 S Palestine St, Athens, TX 75751 Phone: 903-675-9570 |