Keonta Golson, LPC-A | |
840 Summerfield, Prosper, TX 75078-9198 | |
(469) 249-0424 | |
Not Available |
Full Name | Keonta Golson |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 840 Summerfield, Prosper, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467101865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 88109 (Texas) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
Mailing Address | Practice Location Address |
---|---|
Keonta Golson, LPC-A 840 Summerfield, Prosper, TX 75078-9198 Ph: (469) 249-0424 | Keonta Golson, LPC-A 840 Summerfield, Prosper, TX 75078-9198 Ph: (469) 249-0424 |
Sara Correll, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4010 Bear Creek Ct, Prosper, TX 75078 Phone: 719-271-3337 | |
Jose Matias Santos Iii, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 E Broadway St, Prosper, TX 75078 Phone: 214-764-6333 Fax: 972-441-2385 | |
Jaime Bradley, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 E 3rd St, Prosper, TX 75078 Phone: 972-292-0007 | |
Katelyn Sky Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 E 3rd St, Prosper, TX 75078 Phone: 972-292-0007 | |
Catherine Stephenson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 E 3rd St, Prosper, TX 75078 Phone: 902-293-9652 | |
Julie Anne Orsak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 E Broadway St, Prosper, TX 75078 Phone: 469-269-0951 | |
Kathryn Baugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 E Broadway St, Prosper, TX 75078 Phone: 469-471-1401 |