Laura Kimball, LPC | |
4749 Odom Rd, Beaumont, TX 77706-7080 | |
(409) 200-2220 | |
(409) 440-3344 |
Full Name | Laura Kimball |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 4749 Odom Rd, Beaumont, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821753104 | NPI | - | NPPES |
43007593 | Other | TX | DRIVER LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 85787 (Texas) | Primary |
Entity Name | Newpath Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992126254 PECOS PAC ID: 8820315138 Enrollment ID: O20150326000209 |
Mailing Address | Practice Location Address |
---|---|
Laura Kimball, LPC 105 Canyon Lake Cir, Lumberton, TX 77657-3701 Ph: (409) 200-2220 | Laura Kimball, LPC 4749 Odom Rd, Beaumont, TX 77706-7080 Ph: (409) 200-2220 |
Mr. Jeffrey M Ross, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9055 Manion Dr, Beaumont, TX 77706 Phone: 409-866-0976 Fax: 409-866-8190 | |
Ms. Lisa Paige Lasalle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 Fannin St, Beaumont, TX 77701 Phone: 409-833-2668 | |
Mrs. Nina Elizabeth Crabtree, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2750 S 8th St, Beaumont, TX 77701 Phone: 409-839-1000 Fax: 409-839-1066 | |
Courtlyn Raye Hale, M.ED., LPC Counselor Medicare: Medicare Enrolled Practice Location: 3380 Fannin St, Beaumont, TX 77701 Phone: 409-832-6223 | |
Mrs. Rita Kay Drake, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2750 S 8th St, Beaumont, TX 77701 Phone: 409-839-1000 Fax: 409-839-1066 | |
Betty Jo Reynolds, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2750 S 8th St, Beaumont, TX 77701 Phone: 409-839-1000 Fax: 409-839-1066 | |
Ms. Carole Susan Miller, LICENSED PROFESSIONA Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Interstate 10 North, Suite 201, Beaumont, TX 77707 Phone: 409-898-3081 Fax: 409-833-4811 |