Joni Mondy, | |
124 Quail Run Dr, Seagoville, TX 75159-2532 | |
(469) 733-6057 | |
Not Available |
Full Name | Joni Mondy |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 124 Quail Run Dr, Seagoville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619628211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 82748 (Texas) | Primary |
Entity Name | Lakes Regional Mental Health Mental Retardation Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881752715 PECOS PAC ID: 9739175225 Enrollment ID: O20040421000795 |
Mailing Address | Practice Location Address |
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Joni Mondy, 124 Quail Run Dr, Seagoville, TX 75159-2532 Ph: (469) 733-6057 | Joni Mondy, 124 Quail Run Dr, Seagoville, TX 75159-2532 Ph: (469) 733-6057 |
Tiffany Monroe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3011 Graystone Ct, Seagoville, TX 75159 Phone: 903-445-0667 | |
Tabitha Michelle Rupard, LPC Counselor Medicare: Medicare Enrolled Practice Location: 607 Aqueduct Dr, Seagoville, TX 75159 Phone: 972-369-6851 | |
Mrs. Debra M Gulledge, MA LPC DCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 W Malloy Bridge Rd., Seagoville, TX 75159 Phone: 214-805-4543 Fax: 214-321-5496 |