Ethel H Gomez, LPC | |
119 E Academy St, Del Rio, TX 78840-6072 | |
(830) 422-3305 | |
(830) 422-3305 |
Full Name | Ethel H Gomez |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 119 E Academy St, Del Rio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497112841 | NPI | - | NPPES |
361226902 | Medicaid | TX | |
71136 | Other | TX | TX STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 71136 (Texas) | Primary |
Entity Name | United Medical Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710980669 PECOS PAC ID: 7618957135 Enrollment ID: O20040817000497 |
Mailing Address | Practice Location Address |
---|---|
Ethel H Gomez, LPC Po Box 1470, Eagle Pass, TX 78853-1470 Ph: (830) 773-8917 | Ethel H Gomez, LPC 119 E Academy St, Del Rio, TX 78840-6072 Ph: (830) 422-3305 |
Kayla Nettleton, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 S Main St, Del Rio, TX 78840 Phone: 830-734-4303 | |
Dixie Valdez, M.S.L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 S Main St, Del Rio, TX 78840 Phone: 830-775-3171 Fax: 830-775-4236 | |
Lisa Gaye Cawley-romero, L.P.C. & L.M.F.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 W Cantu Rd, Suite 400, Del Rio, TX 78840 Phone: 830-774-4447 Fax: 830-774-4265 | |
Norely A Sorrell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 South Main St, Del Rio, TX 78841 Phone: 325-262-3096 | |
Mr. Raymond Keith Blottin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 West Losoya, Serenity Counseling, Del Rio, TX 78840 Phone: 830-734-7340 | |
Alejandra Garcia, Counselor Medicare: Medicare Enrolled Practice Location: 707 E 17th St, Del Rio, TX 78840 Phone: 325-944-2561 Fax: 325-939-2019 | |
Timothy Lucas Duran, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Lookout Dr, Del Rio, TX 78840 Phone: 830-313-2787 |