Brittainy A Wagner, LPC | |
305 W Woodard St # 209, Denison, TX 75020-3136 | |
(903) 265-8545 | |
Not Available |
Full Name | Brittainy A Wagner |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 305 W Woodard St # 209, Denison, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023429750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 69738 (Texas) | Secondary |
101YP2500X | Counselor - Professional | 69738 (Texas) | Primary |
Entity Name | Tidemark Therapy Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275939001 PECOS PAC ID: 7416283775 Enrollment ID: O20190724000985 |
Mailing Address | Practice Location Address |
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Brittainy A Wagner, LPC 305 W Woodard St # 209, Denison, TX 75020-3136 Ph: (903) 265-8545 | Brittainy A Wagner, LPC 305 W Woodard St # 209, Denison, TX 75020-3136 Ph: (903) 265-8545 |
Suzanne Rose Draper, LPC Counselor Medicare: Medicare Enrolled Practice Location: 416 E Main St, Denison, TX 75021 Phone: 903-465-6344 Fax: 903-465-5943 | |
Geni A Hutchings, LPC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 N Fannin Ave, Denison, TX 75020 Phone: 903-624-3960 | |
Ashley Hinson, MMFT, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 Haven Cir, Denison, TX 75020 Phone: 512-659-0011 | |
Mr. Lloyd Arthur Bergman Ii, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9670 Dripping Springs Rd, Denison, TX 75021 Phone: 903-463-1193 | |
Ms. Ruth Esmeralda Bradley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Memorial Dr Ste 103, Denison, TX 75020 Phone: 903-462-4600 | |
Mr. Terrence R Madsen, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 1105 Memorial Dr, Suite 202, Denison, TX 75020 Phone: 903-337-0343 Fax: 903-337-0526 |