Blanca Itzel Vela, LPC-S | |
1950 Ephriham Ave, Fort Worth, TX 76164-6670 | |
(817) 813-7075 | |
Not Available |
Full Name | Blanca Itzel Vela |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1950 Ephriham Ave, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013364611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 72060 (Texas) | Primary |
Entity Name | Infinite Potential Counseling, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003422114 PECOS PAC ID: 2961852116 Enrollment ID: O20231229001613 |
Mailing Address | Practice Location Address |
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Blanca Itzel Vela, LPC-S 15144 Orpheus Way, San Antonio, TX 78245-3901 Ph: (210) 363-7108 | Blanca Itzel Vela, LPC-S 1950 Ephriham Ave, Fort Worth, TX 76164-6670 Ph: (817) 813-7075 |
Jamie L Cole, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Case Management, Fort Worth, TX 76104 Phone: 682-885-3991 | |
Ms. Yolanda Valenzuela, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1480 | |
Mrs. Kathleen Margaret Bass, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3901 Kirby Dr, #1014, Fort Worth, TX 76155 Phone: 817-915-0359 | |
Felice Mayes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2928 W 5th St, Fort Worth, TX 76107 Phone: 817-332-6348 Fax: 817-332-6489 | |
Jessica Batts, MA, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 Bridge St, Ste. 300, Fort Worth, TX 76112 Phone: 682-292-8413 | |
Carrie Rimato, Counselor Medicare: Medicare Enrolled Practice Location: 9840 Gallatin Ln, Fort Worth, TX 76177 Phone: 979-236-8325 | |
Brittany Leann Kirk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 7th Ave Ste 2100, Fort Worth, TX 76104 Phone: 682-885-1480 Fax: 682-885-3600 |