Courtney Rodriguez, | |
3320 Tx-256 Loop, Palestine, TX 75801 | |
(903) 723-6136 | |
Not Available |
Full Name | Courtney Rodriguez |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3320 Tx-256 Loop, Palestine, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174386023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 85704 (Texas) | Secondary |
101YP2500X | Counselor - Professional | 85704 (Texas) | Primary |
Entity Name | Anderson Cherokee Community Enrichment Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710015201 PECOS PAC ID: 4284718107 Enrollment ID: O20080229000537 |
Mailing Address | Practice Location Address |
---|---|
Courtney Rodriguez, 1011 College Ave, Jacksonville, TX 75766-3307 Ph: (903) 589-9000 | Courtney Rodriguez, 3320 Tx-256 Loop, Palestine, TX 75801 Ph: (903) 723-6136 |
Mr. Thomas Arnold, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18830 Fm 315, Palestine, TX 75803 Phone: 903-292-5108 Fax: 903-292-5109 | |
Ms. Kathryn Elaine Miller, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 N Mallard St, Suite 106, Palestine, TX 75801 Phone: 903-948-9203 Fax: 903-723-8409 | |
Mrs. Rebecca J Reynolds, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3320 S Loop 256, Palestine, TX 75801 Phone: 903-723-6136 Fax: 903-589-3443 | |
Mr. James Eric Gooch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Chestnut Dr, Palestine, TX 75803 Phone: 903-391-1028 | |
Mrs. Janet M. Stulce, MCCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3662 Anderson Cr 359, Palestine, TX 75803 Phone: 903-391-1769 Fax: 903-538-2028 | |
Ms. Kathy Sharp Keith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 W Palestine Ave, Palestine, TX 75801 Phone: 903-849-5297 Fax: 903-723-8252 |