Jennifer Anne Wallace, LPC | |
9503 Oak Springs Dr, Woodway, TX 76712-6401 | |
(318) 237-8237 | |
Not Available |
Full Name | Jennifer Anne Wallace |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 9503 Oak Springs Dr, Woodway, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942927090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 89792 (Texas) | Primary |
Entity Name | Heart Of Texas Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568191492 PECOS PAC ID: 1153370242 Enrollment ID: O20050114000813 |
Mailing Address | Practice Location Address |
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Jennifer Anne Wallace, LPC 9503 Oak Springs Dr, Woodway, TX 76712-6401 Ph: (318) 237-8237 | Jennifer Anne Wallace, LPC 9503 Oak Springs Dr, Woodway, TX 76712-6401 Ph: (318) 237-8237 |
Nathan Dale Williams, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Midway Ctr, Woodway, TX 76712 Phone: 254-913-8365 | |
Karen Shanks, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 309 Bellaire Dr, Woodway, TX 76712 Phone: 254-744-8262 | |
Ms. Heather L. Trimmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6516 Sendero Ln, Woodway, TX 76712 Phone: 254-644-4843 | |
Amber Burns, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Midway Ctr, Woodway, TX 76712 Phone: 254-307-1469 | |
Ms. Sylvia Hannah Edwards, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1609 Oak Hollow Dr, Woodway, TX 76712 Phone: 254-732-3892 Fax: 254-732-3892 | |
Anne-marie Zellers, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 W. Hwy 6, Suite 500, Woodway, TX 76712 Phone: 254-203-5063 | |
Katherine Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6704 Woodway Dr, Woodway, TX 76712 Phone: 254-892-4957 |