| Amanda T De Leon, LPC | |
|
2211 S Interstate 35 Ste 103, Austin, TX 78741-3842 | |
| (512) 766-3627 | |
| Not Available |
| Full Name | Amanda T De Leon |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2211 S Interstate 35 Ste 103, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588135669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 76093 (Texas) | Primary |
| Entity Name | Gramercy Specialty Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922419324 PECOS PAC ID: 6709105901 Enrollment ID: O20150511001716 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda T De Leon, LPC 2211 S Interstate 35 Ste 103, Austin, TX 78741-3842 Ph: () - | Amanda T De Leon, LPC 2211 S Interstate 35 Ste 103, Austin, TX 78741-3842 Ph: (512) 766-3627 |
Mr. David A Miller, LPC, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 West Ave Ste B, Austin, TX 78701 Phone: 512-608-2024 | |
Ms. Virginia Adams Bloom, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 S 1st St Ste 200, Austin, TX 78704 Phone: 512-627-0390 Fax: 512-288-1909 | |
Trina K Bluford Ita, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 E Cesar Chavez St, Austin, TX 78702 Phone: 888-823-9194 Fax: 888-708-9413 | |
Laura Violeta Duenas-guerrero, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2525 Wallingwood Dr, Bldg. 8, Ste. 800, Austin, TX 78746 Phone: 512-348-8713 | |
Paula Nicholas Storrer, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 W 8th St, Austin, TX 78703 Phone: 512-925-2412 | |
Amanda Lorina Cartwright, LCSW, LCDC Counselor Medicare: Accepting Medicare Assignments Practice Location: 4005 Spicewood Springs Rd Ste B401, Austin, TX 78759 Phone: 512-807-0898 | |
Jessica Lynn Stewart, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5015 S Ih 35, Austin, TX 78744 Phone: 512-804-3202 |