Chad Beavers, LPC | |
901 Wallace Blvd, Amarillo, TX 79106-1705 | |
(806) 364-6111 | |
Not Available |
Full Name | Chad Beavers |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 901 Wallace Blvd, Amarillo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154360949 | NPI | - | NPPES |
028935701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 15841 (Texas) | Primary |
101YM0800X | Counselor - Mental Health | 15841 (Texas) | Secondary |
Entity Name | Texas Panhandle Mental Health Mental Retardation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134188139 PECOS PAC ID: 0446200067 Enrollment ID: O20050131000802 |
Mailing Address | Practice Location Address |
---|---|
Chad Beavers, LPC 901 Wallace Blvd, Amarillo, TX 79106-1705 Ph: (806) 364-6111 | Chad Beavers, LPC 901 Wallace Blvd, Amarillo, TX 79106-1705 Ph: (806) 364-6111 |
Pamela Dawn George, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3807 S. Virginia, Amarillo, TX 79109 Phone: 806-341-4200 | |
Mr. Joseph Stephen Sorenson, MA, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 719 S Austin St, Amarillo, TX 79106 Phone: 512-949-0403 | |
Brady Prescott, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 S Taylor St Ste 600, Amarillo, TX 79101 Phone: 806-316-5595 | |
Miss Chelsea Patricia Strand, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1500 S Taylor St, Amarillo, TX 79101 Phone: 806-354-2191 | |
Tingting Li, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 S Polk St, Amarillo, TX 79101 Phone: 806-349-5697 | |
Mrs. Tatum Raye Burdis, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7470 Golden Pond Pl Ste 300, Amarillo, TX 79121 Phone: 806-356-9047 Fax: 806-356-9046 | |
Ivy Hazel Bermudez, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Shasta Dr, Amarillo, TX 79110 Phone: 806-678-5652 |