Joellen Walter, | |
17200 Westgrove Dr Apt 2412, Addison, TX 75001-7135 | |
(972) 841-2861 | |
Not Available |
Full Name | Joellen Walter |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 17200 Westgrove Dr Apt 2412, Addison, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417571829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 79427 (Texas) | Primary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
Mailing Address | Practice Location Address |
---|---|
Joellen Walter, 17200 Westgrove Dr Apt 2412, Addison, TX 75001-7135 Ph: (972) 841-2861 | Joellen Walter, 17200 Westgrove Dr Apt 2412, Addison, TX 75001-7135 Ph: (972) 841-2861 |
Daniel Rodriguez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4131 Runyon Rd, Addison, TX 75001 Phone: 214-586-0249 | |
Victoria Hope Zimmerman, LPC-INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 4811 Broadway St, Addison, TX 75001 Phone: 206-999-1605 | |
Jim Savage, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4950 Keller Springs Rd Ste 180, Addison, TX 75001 Phone: 214-789-8456 | |
Hilda Hazel Mcclure, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15851 Dallas Pkwy Ste 600, Addison, TX 75001 Phone: 214-267-9556 | |
Josh Freeman, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14673 Midway Rd Ste 110, Addison, TX 75001 Phone: 469-904-2408 | |
Carlos Ivan Acosta, MASTERS Counselor Medicare: Not Enrolled in Medicare Practice Location: 15851 Dallas Pkwy, Addison, TX 75001 Phone: 214-267-9556 Fax: 833-457-1700 | |
Donna Bennett Gill, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr Ste 1000e, Addison, TX 75001 Phone: 214-960-3632 |