Dianna Clayton, LPC | |
5751 Park Vista Cir Ste 101, Fort Worth, TX 76244-5607 | |
(817) 812-2880 | |
Not Available |
Full Name | Dianna Clayton |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 5751 Park Vista Cir Ste 101, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275993982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 66078 (Texas) | Secondary |
101YM0800X | Counselor - Mental Health | 66078 (Texas) | Primary |
101YP2500X | Counselor - Professional | 66078 (Texas) | Secondary |
Entity Name | Logos Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881852952 PECOS PAC ID: 3476804519 Enrollment ID: O20180928000545 |
Mailing Address | Practice Location Address |
---|---|
Dianna Clayton, LPC 189 Bryson Ridge Dr, Bowie, TX 76230-8530 Ph: (940) 781-5310 | Dianna Clayton, LPC 5751 Park Vista Cir Ste 101, Fort Worth, TX 76244-5607 Ph: (817) 812-2880 |
Jamie L Cole, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Case Management, Fort Worth, TX 76104 Phone: 682-885-3991 | |
Ms. Yolanda Valenzuela, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1480 | |
Mrs. Kathleen Margaret Bass, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3901 Kirby Dr, #1014, Fort Worth, TX 76155 Phone: 817-915-0359 | |
Felice Mayes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2928 W 5th St, Fort Worth, TX 76107 Phone: 817-332-6348 Fax: 817-332-6489 | |
Jessica Batts, MA, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 Bridge St, Ste. 300, Fort Worth, TX 76112 Phone: 682-292-8413 | |
Carrie Rimato, Counselor Medicare: Medicare Enrolled Practice Location: 9840 Gallatin Ln, Fort Worth, TX 76177 Phone: 979-236-8325 | |
Colleen Casey Johnson, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Fort Worth, TX 76107 Phone: 817-335-3022 |