Felicia Stacks, LPC | |
1300 W. 16th St., Mount Pleasant, TX 75455 | |
(903) 572-8783 | |
(903) 572-6965 |
Full Name | Felicia Stacks |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1300 W. 16th St., Mount Pleasant, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487713715 | NPI | - | NPPES |
84078L | Other | TX | PRIVATE INSURANCE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 16453 (Texas) | Primary |
Entity Name | Charlie Blue Therapy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255106340 PECOS PAC ID: 4385082965 Enrollment ID: O20240402000773 |
Mailing Address | Practice Location Address |
---|---|
Felicia Stacks, LPC 400 Airport Rd, Po Box 747, Terrell, TX 75160-4302 Ph: (972) 524-4159 | Felicia Stacks, LPC 1300 W. 16th St., Mount Pleasant, TX 75455 Ph: (903) 572-8783 |
Robyn Ann Boles, LCSW, LCDC Counselor Medicare: Medicare Enrolled Practice Location: 3740 Farm Road 1735, Mount Pleasant, TX 75455 Phone: 903-374-8040 Fax: 903-205-1779 | |
Mr. Joseph D. Hayes, M.S.,L.P.C.,N.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 S Jefferson Ave Ste 110, Mount Pleasant, TX 75455 Phone: 903-285-5121 | |
Elizabeth Cota, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1805 N Jefferson Ave, Suite 500, Mount Pleasant, TX 75455 Phone: 903-577-8322 | |
Mrs. Joanne Christian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 209 W 8th St, Mount Pleasant, TX 75455 Phone: 903-575-1330 Fax: 903-577-9156 | |
Mr. Craig A. Pruitt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 W 2nd St, Mount Pleasant, TX 75455 Phone: 903-577-1224 Fax: 903-577-1810 | |
Autumne Rene' Hart, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 404 W 2nd St, Mount Pleasant, TX 75455 Phone: 903-577-1224 |