Logan A Iles, LCSW | |
120 27th St Ne, Paris, TX 75460-1443 | |
(903) 715-7376 | |
Not Available |
Full Name | Logan A Iles |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 120 27th St Ne, Paris, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417584509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (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 |
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Logan A Iles, LCSW 120 27th St Ne, Paris, TX 75460-1443 Ph: (903) 715-7376 | Logan A Iles, LCSW 120 27th St Ne, Paris, TX 75460-1443 Ph: (903) 715-7376 |
Mrs. Melissa Anne Ladd, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4545 Thomas Dr, Paris, TX 75462 Phone: 903-517-3928 | |
Jill Conway, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2620 Lamar Ave Ste 100, Paris, TX 75460 Phone: 903-401-9766 Fax: 903-705-6066 | |
Mrs. Tiffany Blassingame, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 737 Lamar Ave, Paris, TX 75460 Phone: 903-785-0400 Fax: 903-785-0403 | |
Stephen Trey Russell, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1849 Lamar Ave Ste 120, Paris, TX 75460 Phone: 903-715-4480 | |
Kathy Roden Floyd, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3605 Ne Loop 286 Ste 300, Paris, TX 75460 Phone: 903-785-7410 Fax: 903-785-7758 | |
Andrea Perry, PH.D, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 2620 Lamar Ave Ste 116, Paris, TX 75460 Phone: 903-732-7887 | |
David Coats, LPC, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 737 Lamar Ave, Paris, TX 75460 Phone: 903-785-0400 Fax: 903-785-0403 |