Jaime Corona, LPC | |
4805 Green Oaks Dr, River Oaks, TX 76114-3004 | |
(817) 624-1222 | |
(817) 460-0286 |
Full Name | Jaime Corona |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 4805 Green Oaks Dr, River Oaks, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083852354 | NPI | - | NPPES |
202545405 | Medicaid | TX | |
202545401 | Medicaid | TX | |
202545403 | Medicaid | TX | |
202545402 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 63032 (Texas) | Primary |
Entity Name | New Horizon Counseling Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578863601 PECOS PAC ID: 6901054717 Enrollment ID: O20120920000513 |
Mailing Address | Practice Location Address |
---|---|
Jaime Corona, LPC Po Box 10117, River Oaks, TX 76114-0117 Ph: (817) 624-1222 | Jaime Corona, LPC 4805 Green Oaks Dr, River Oaks, TX 76114-3004 Ph: (817) 624-1222 |
Christopher Mcmullen, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Roberts Cut Off Rd, Ste A, River Oaks, TX 76114 Phone: 817-624-1222 Fax: 817-624-1213 | |
Mrs. Betsy Ann Paul, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Roberts Cut Off Rd, Suite A, River Oaks, TX 76114 Phone: 817-624-1222 Fax: 817-624-1213 | |
Mrs. Vivian Martinez, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4805 Green Oaks Dr, River Oaks, TX 76114 Phone: 817-624-1222 Fax: 817-624-1222 | |
Frank Cheek, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Roberts Cut Off Rd, Ste A, River Oaks, TX 76114 Phone: 817-624-1222 Fax: 817-624-1213 | |
Vernon Lewis, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Roberts Cut Off Rd, Ste A, River Oaks, TX 76114 Phone: 817-624-1222 Fax: 817-624-1213 | |
Mr. Jorge Martin Gama, LPC-INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Roberts Cut Off Rd Ste A, River Oaks, TX 76114 Phone: 817-624-1222 Fax: 817-624-1213 |