Bryan Christopher Ellis, LCSW | |
2015 Congress St, Houston, TX 77002-2323 | |
(713) 739-7752 | |
Not Available |
Full Name | Bryan Christopher Ellis |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 2015 Congress St, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932713278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 59016 (Texas) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
Mailing Address | Practice Location Address |
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Bryan Christopher Ellis, LCSW 2015 Congress St, Houston, TX 77002-2323 Ph: () - | Bryan Christopher Ellis, LCSW 2015 Congress St, Houston, TX 77002-2323 Ph: (713) 739-7752 |
Ms. Kathleen P Fallon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6500 Chimney Rock Rd, Houston, TX 77081 Phone: 281-685-6921 | |
Amy C Waldner, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1118 Cortlandt St # 2, Houston, TX 77008 Phone: 281-455-5359 | |
Veronica Meza-hernandez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5104 Harrisburg Blvd, Ste 800, Houston, TX 77011 Phone: 832-667-4150 Fax: 833-853-9420 | |
Ms. Juanita Annette Perry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10381 Huntington Place Dr, Houston, TX 77099 Phone: 832-607-9770 | |
Thomas L Hambleton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3100 Weslayan St Ste 350, Houston, TX 77027 Phone: 713-963-0769 Fax: 713-963-8536 | |
Francisco Fuentes Ayala, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Branard St Fl 2, Houston, TX 77006 Phone: 713-529-0037 | |
Vasavi Kanneganti, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9401 Southwest Fwy, Houston, TX 77074 Phone: 713-970-7000 |