Mandisha Matthews Mark, | |
2306 Guthrie Rd Ste 260h, Garland, TX 75043-5967 | |
(469) 290-3080 | |
Not Available |
Full Name | Mandisha Matthews Mark |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2306 Guthrie Rd Ste 260h, Garland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982364915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 83922 (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 |
---|---|
Mandisha Matthews Mark, 513 Via Altos, Mesquite, TX 75150-4426 Ph: (310) 908-1233 | Mandisha Matthews Mark, 2306 Guthrie Rd Ste 260h, Garland, TX 75043-5967 Ph: (469) 290-3080 |
Katerina Oskolkoff, LPC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 2906 Pegasus Dr, Garland, TX 75044 Phone: 940-241-0471 | |
Dr. Lindy Machell Perkins, ED.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 3506 Bobbie Ln, Garland, TX 75042 Phone: 972-494-0217 | |
Katherine Johnston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3256 Southern Dr Ste 461, Garland, TX 75043 Phone: 214-385-5445 | |
Stephanie Gutierrez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 Town Square Blvd Bldg 1a, Garland, TX 75040 Phone: 214-785-0147 | |
Lisa Ellerman, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 Belt Line Rd, Garland, TX 75040 Phone: 972-961-7078 | |
Kylie Ball, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3256 Southern Dr, Garland, TX 75043 Phone: 214-385-5445 | |
Ashley Stevenson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3256 Southern Dr Ste 461, Garland, TX 75043 Phone: 214-385-5445 |