Coral Fantasia, MSW, LCSW | |
3000 Polar Ln Ste 101, Cedar Park, TX 78613-3065 | |
(844) 824-8775 | |
Not Available |
Full Name | Coral Fantasia |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 3000 Polar Ln Ste 101, Cedar Park, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114663945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 113615 (Texas) | Primary |
1041C0700X | Social Worker - Clinical | IC-1932 (Nevada) | Secondary |
Entity Name | Progressive Behavioral Health, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763 |
Mailing Address | Practice Location Address |
---|---|
Coral Fantasia, MSW, LCSW 3000 Polar Ln Ste 101, Cedar Park, TX 78613-3065 Ph: (844) 824-8775 | Coral Fantasia, MSW, LCSW 3000 Polar Ln Ste 101, Cedar Park, TX 78613-3065 Ph: (844) 824-8775 |
Macy Loera, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 921 W New Hope Dr Ste 504, Cedar Park, TX 78613 Phone: 737-497-1672 | |
Abbey Christine Pelosi, LCSW-S Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1603 Medical Pkwy Ste 320, Cedar Park, TX 78613 Phone: 512-827-8601 Fax: 512-872-5294 | |
Nicole Elizabeth Garcia, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12001 W Parmer Ln Ste 203b, Cedar Park, TX 78613 Phone: 512-593-7070 | |
Kristina Leann Daugherty, LCSW, LCDC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2906 Appennini Cv, Cedar Park, TX 78613 Phone: 512-560-7018 | |
Robin Fayvonne Johnson, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 930 S Bell Blvd, Cedar Park, TX 78613 Phone: 512-333-1458 | |
Courtney Pataray, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 Polar Ln Ste 101, Cedar Park, TX 78613 Phone: 844-824-8775 |