Charles Tyler Kibbe, LPC-ASSOCIATE | |
2862 N Belt Line Rd, Sunnyvale, TX 75182-9388 | |
(972) 698-8478 | |
Not Available |
Full Name | Charles Tyler Kibbe |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2862 N Belt Line Rd, Sunnyvale, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336820711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 89025 (Texas) | Primary |
Entity Name | Brave Health Medical Group, P.a |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225669161 PECOS PAC ID: 9537586052 Enrollment ID: O20201113000093 |
Mailing Address | Practice Location Address |
---|---|
Charles Tyler Kibbe, LPC-ASSOCIATE 2862 N Belt Line Rd, Sunnyvale, TX 75182-9388 Ph: (972) 698-8478 | Charles Tyler Kibbe, LPC-ASSOCIATE 2862 N Belt Line Rd, Sunnyvale, TX 75182-9388 Ph: (972) 698-8478 |
Anne Melnick, LPC-ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 2862 N Belt Line Rd, Sunnyvale, TX 75182 Phone: 214-449-0812 | |
Travis Long, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2862 N Belt Line Rd, Sunnyvale, TX 75182 Phone: 972-698-8478 | |
Mr. Gary C Lange, PHD LMFT LCPC MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2862 N Beltline, Sunnyvale, TX 75182 Phone: 972-698-8478 Fax: 972-698-8469 | |
Mrs. Susan Carol Duke, LPCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 2862 N Belt Line Rd, Sunnyvale, TX 75182 Phone: 972-698-8478 Fax: 972-698-8469 | |
Mrs. Candice Newman, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2862 N Belt Line Rd, Sunnyvale, TX 75182 Phone: 972-698-8478 | |
Mr. Litty C Baby, M.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3108 Red Oak Dr, Sunnyvale, TX 75182 Phone: 972-203-8099 |