Allisha Gayle Skinner Bonneaux, MED,LPC | |
7700 Fm 1130, Orange, TX 77632-3740 | |
(409) 988-4221 | |
Not Available |
Full Name | Allisha Gayle Skinner Bonneaux |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 7700 Fm 1130, Orange, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063528966 | NPI | - | NPPES |
168911901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 14019 (Texas) | Secondary |
101YP2500X | Counselor - Professional | 14019 (Texas) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
Mailing Address | Practice Location Address |
---|---|
Allisha Gayle Skinner Bonneaux, MED,LPC 7700 Fm 1130, Orange, TX 77632-3740 Ph: (409) 988-4221 | Allisha Gayle Skinner Bonneaux, MED,LPC 7700 Fm 1130, Orange, TX 77632-3740 Ph: (409) 988-4221 |
Mrs. Tina Maria Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 Henderson Ave, Orange, TX 77630 Phone: 409-883-2273 Fax: 409-883-2274 | |
Luke Purgahn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4711 Frost Pl, Orange, TX 77630 Phone: 409-988-5856 | |
Belinda Jimerson-colston, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4303 Tejas Pkwy, Orange, TX 77632 Phone: 409-839-3857 Fax: 409-883-7076 | |
Mr. Dallas Joseph Moreau Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1201 Red Bud Dr, Orange, TX 77632 Phone: 409-988-3161 | |
Fernando Lozano, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4303 Tejas Pkwy, Orange, TX 77632 Phone: 409-839-3857 | |
Lindsey Delayne Autery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8420 E Bridgefield Dr, Orange, TX 77630 Phone: 409-960-8353 |