Ediany Desousa, | |
21230 Kingsland Blvd Ste 300, Katy, TX 77450-6130 | |
(281) 984-3494 | |
Not Available |
Full Name | Ediany Desousa |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 21230 Kingsland Blvd Ste 300, Katy, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467917971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 92352 (Texas) | Primary |
Entity Name | Muro Mental Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194580894 PECOS PAC ID: 2860838588 Enrollment ID: O20240315001748 |
Mailing Address | Practice Location Address |
---|---|
Ediany Desousa, 18670 Forty Six Pkwy Unit I, Spring Branch, TX 78070-6911 Ph: (308) 481-1644 | Ediany Desousa, 21230 Kingsland Blvd Ste 300, Katy, TX 77450-6130 Ph: (281) 984-3494 |
Mrs. Melissa Diane Barton, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5608 5th St, # B-2, Katy, TX 77493 Phone: 832-372-5900 | |
Dianna Mae Kinkead, MA, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 20915 Kingsland Blvd, Katy, TX 77450 Phone: 281-579-0703 Fax: 281-398-9719 | |
David John Dotson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 B Park Grove Drive, Katy, TX 77450 Phone: 281-277-8827 | |
Mr. Timothy Richmond Spears, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1826 Snake River Rd Ste D, Katy, TX 77449 Phone: 281-394-1379 Fax: 281-712-2517 | |
Sonia L Fields-de Pass, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 472 Park Grove Dr, Katy, TX 77450 Phone: 713-489-5473 | |
Nichelsea Gardner, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1732 Katyland Dr, Katy, TX 77493 Phone: 281-237-6384 | |
Jessica Peralta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 472 Park Grove Dr, Katy, TX 77450 Phone: 713-489-5473 |