Carrie Lynn Leafblad, MA, LPC | |
2042 Pine Knot Dr, Heartland, TX 75126-8283 | |
(214) 755-8490 | |
Not Available |
Full Name | Carrie Lynn Leafblad |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2042 Pine Knot Dr, Heartland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417620444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 80496 (Texas) | Primary |
Entity Name | Lakes Regional Mental Health Mental Retardation Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881752715 PECOS PAC ID: 9739175225 Enrollment ID: O20040421000795 |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
Mailing Address | Practice Location Address |
---|---|
Carrie Lynn Leafblad, MA, LPC 2042 Pine Knot Dr, Heartland, TX 75126-8283 Ph: (214) 755-8490 | Carrie Lynn Leafblad, MA, LPC 2042 Pine Knot Dr, Heartland, TX 75126-8283 Ph: (214) 755-8490 |
Octavious Monique Dangerfield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3633 Pendleton Ct, Heartland, TX 75126 Phone: 214-815-5672 | |
Henry Ogbeide, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4005 Fairmont Ln, Heartland, TX 75126 Phone: 817-704-9869 | |
Staci Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2004 Times Rd, Heartland, TX 75126 Phone: 972-897-5392 |