Ms Fonda Gail Latham, LCSW | |
1305 S Baxter Ave, Tyler, TX 75701-3404 | |
(903) 714-1130 | |
Not Available |
Full Name | Ms Fonda Gail Latham |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 41 Years |
Location | 1305 S Baxter Ave, Tyler, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306978135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 00557 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Samaritan Counseling Services Of The Gulf Coast Inc | 1456314343 | 11 |
Entity Name | Samaritan Counseling Services Of The Gulf Coast Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619993011 PECOS PAC ID: 1456314343 Enrollment ID: O20041111000271 |
Mailing Address | Practice Location Address |
---|---|
Ms Fonda Gail Latham, LCSW 113 Henry Dr, Bullard, TX 75757-9375 Ph: (903) 714-1130 | Ms Fonda Gail Latham, LCSW 1305 S Baxter Ave, Tyler, TX 75701-3404 Ph: (903) 714-1130 |
Larissa Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5380 Old Bullard Rd Ste 600-129, Tyler, TX 75703 Phone: 903-707-3187 | |
Marina Randall, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1611 S Wall Ave, Tyler, TX 75701 Phone: 419-022-1626 | |
July J Johnson-minnick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4111 University Blvd, Tyler, TX 75701 Phone: 903-266-3400 | |
Ms. Jana Meagher Sisk, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1121 Ese Loop323, Suite 204, Tyler, TX 75701 Phone: 903-581-0933 Fax: 903-581-3977 | |
Laurie Ann Frank, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1800 Shiloh Rd Ste 106, Tyler, TX 75703 Phone: 903-780-9811 | |
Hope Lambert, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1808 Blossom Ln, Tyler, TX 75701 Phone: 903-312-0874 | |
Mrs. Kristi Ann Lemmert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18118 County Road 4202, Tyler, TX 75704 Phone: 903-279-2981 |