Jovita Gutierrez, LCSW | |
171 Derek Rd, Eddy, TX 76524-3904 | |
(254) 652-7242 | |
Not Available |
Full Name | Jovita Gutierrez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 171 Derek Rd, Eddy, 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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1871101386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 58985 (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 |
Entity Name | Deep Eddy Psychotherapy Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457740862 PECOS PAC ID: 2264886936 Enrollment ID: O20230928002745 |
Mailing Address | Practice Location Address |
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Jovita Gutierrez, LCSW 171 Derek Rd, Eddy, TX 76524-3904 Ph: (254) 652-7242 | Jovita Gutierrez, LCSW 171 Derek Rd, Eddy, TX 76524-3904 Ph: (254) 652-7242 |
Mrs. Shannon Colleen Lowery-garza, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 480 Highway 7, Eddy, TX 76524 Phone: 254-859-5990 Fax: 254-859-5188 | |
Nicole Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 345 Christopher Dr, Eddy, TX 76524 Phone: 254-203-5010 |