Blake Benson, LPC | |
4004 Peach Creek Dr, Wharton, TX 77488 | |
(832) 621-7581 | |
Not Available |
Full Name | Blake Benson |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 4004 Peach Creek Dr, Wharton, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740770361 | NPI | - | NPPES |
75171 | Other | TX | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 75171 (Texas) | Primary |
Entity Name | Matagorda Episcopal Health Outreach Program |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598024788 PECOS PAC ID: 6002853538 Enrollment ID: O20050415000038 |
Mailing Address | Practice Location Address |
---|---|
Blake Benson, LPC 4004 Peach Creek Dr, Wharton, TX 77488-9716 Ph: (832) 621-7581 | Blake Benson, LPC 4004 Peach Creek Dr, Wharton, TX 77488 Ph: (832) 621-7581 |
Billie A Dejean, M.A Counselor Medicare: Not Enrolled in Medicare Practice Location: 3007 N Richmond Rd, Wharton, TX 77488 Phone: 979-282-2070 Fax: 979-532-2623 | |
Ms. Cynthia Ann Chupik, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1114 N Fulton St, Wharton, TX 77488 Phone: 979-282-8100 Fax: 979-282-8103 | |
Mrs. Sandra V Hochman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 Center St, Wharton, TX 77488 Phone: 979-533-3436 Fax: 979-282-9311 | |
Veronica Richoux Yazigi, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3007 N Richmond Rd, Wharton, TX 77488 Phone: 979-532-3098 | |
Mrs. Amber Leigh Barbee, LPC-S, CSC, CART Counselor Medicare: Not Enrolled in Medicare Practice Location: 1603 N Richmond Rd, Wharton, TX 77488 Phone: 979-531-9990 | |
Shannon Glardon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 N Fulton St, Wharton, TX 77488 Phone: 979-559-1202 |