Carla M Vaughn, | |
4721 Garth Rd, Baytown, TX 77521-2153 | |
(281) 215-3176 | |
Not Available |
Full Name | Carla M Vaughn |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 4721 Garth Rd, Baytown, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710714571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 77698 (Texas) | Primary |
Entity Name | Changing Tides Wellness And Advisors Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588429781 PECOS PAC ID: 9335580711 Enrollment ID: O20240516001350 |
Mailing Address | Practice Location Address |
---|---|
Carla M Vaughn, 11918 Pearl Ln, Mont Belvieu, TX 77535-6816 Ph: (713) 922-7726 | Carla M Vaughn, 4721 Garth Rd, Baytown, TX 77521-2153 Ph: (281) 215-3176 |
Terry T Aultman, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6236 N Highway 146, Suite 9, Baytown, TX 77523 Phone: 281-918-0152 Fax: 281-918-0151 | |
Ms. Janet Elizabeth Thompson, M.A.,L.P.C.,L.M.F.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Polly St, Baytown, TX 77520 Phone: 281-422-7787 Fax: 281-422-6389 | |
Candace Southall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10314 Devinwood Dr, Baytown, TX 77523 Phone: 281-435-2609 | |
Dinah Rochelle Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9511 N Highway 146, Baytown, TX 77523 Phone: 430-201-4723 | |
Ines Serrano Rivera, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4301 Garth Rd Ste And400, Baytown, TX 77521 Phone: 713-674-3326 | |
Mr. James Nis Staley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8326 Coleus Ln, Baytown, TX 77521 Phone: 713-309-5697 | |
Mr. Leonard G Jeffcoat, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6730 Independence Blvd, Suite 300, Baytown, TX 77521 Phone: 281-421-1524 Fax: 281-421-3484 |