Leah Niccolls, | |
3200 County Road 417a, Cleburne, TX 76031-8787 | |
(972) 998-5831 | |
Not Available |
Full Name | Leah Niccolls |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 3200 County Road 417a, Cleburne, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760024533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | 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 |
---|---|
Leah Niccolls, 3200 County Road 417a, Cleburne, TX 76031-8787 Ph: () - | Leah Niccolls, 3200 County Road 417a, Cleburne, TX 76031-8787 Ph: (972) 998-5831 |
Jena Bennett, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5804 W Hwy 67, Cleburne, TX 76033 Phone: 817-517-4436 | |
Mr. Marvel Chantel Jenkins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Jenny Dr, Cleburne, TX 76031 Phone: 817-933-0376 | |
Vanessa Gore, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1108 Lynnwood Ct, Cleburne, TX 76033 Phone: 910-625-9484 | |
Cynthia L Mickel, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W Heard St, Cleburne, TX 76033 Phone: 817-645-5517 Fax: 817-645-5715 | |
Lillian Collins, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N Main St, Cleburne, TX 76033 Phone: 817-558-8807 Fax: 817-558-6919 | |
Mrs. Heather D Parks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 N Main St, Cleburne, TX 76033 Phone: 817-202-3976 Fax: 817-202-3978 | |
Cathrine Susanne Kelton, LPC-S Counselor Medicare: Medicare Enrolled Practice Location: 190 N Ridgeway Dr Ste 105, Cleburne, TX 76033 Phone: 432-894-3141 Fax: 817-242-5128 |