Jeanette Rene Holland, LCSW | |
2804 Matlock Rd, Mansfield, TX 76063-5003 | |
(817) 821-5203 | |
Not Available |
Full Name | Jeanette Rene Holland |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2804 Matlock Rd, Mansfield, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275194565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 57183 (Texas) | Primary |
Entity Name | Senior Psychological Care Dallas I Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649566795 PECOS PAC ID: 3375717044 Enrollment ID: O20111114000885 |
Mailing Address | Practice Location Address |
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Jeanette Rene Holland, LCSW Po Box 2603, Fort Worth, TX 76113-2603 Ph: (817) 569-4039 | Jeanette Rene Holland, LCSW 2804 Matlock Rd, Mansfield, TX 76063-5003 Ph: (817) 821-5203 |
Mr. Michael Lee Weed, L.C,S.W, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1221 Brookfield Ln, Mansfield, TX 76063 Phone: 817-239-0823 | |
Taylor-nicole Bailey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 602 Strada Cir Ste 115, Mansfield, TX 76063 Phone: 682-800-1786 | |
Tiffany C Mylett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 751 E Debbie Ln Ste 105, Mansfield, TX 76063 Phone: 682-422-9140 Fax: 682-258-0441 | |
Rassan Abdull Follis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 201 E Debbie Ln, Mansfield, TX 76063 Phone: 817-914-3251 | |
Mrs. Sheri Marie Wolf, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 501 E Broad St, Mansfield, TX 76063 Phone: 817-690-4910 Fax: 817-477-1705 | |
Mrs. Crystal J. Williamson, MS, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1716 Griffin Ln, Mansfield, TX 76063 Phone: 817-965-5886 Fax: 866-929-1927 | |
Jamye Mcmillin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 808 North St, Mansfield, TX 76063 Phone: 817-233-3265 |