Mario Vega, LPC | |
4301 Garth Rd # 306400, Baytown, TX 77521-3153 | |
(832) 548-5000 | |
Not Available |
Full Name | Mario Vega |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 4301 Garth Rd # 306400, Baytown, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316359656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 69818 (Texas) | Primary |
Entity Name | Legacy Community Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679524961 PECOS PAC ID: 7911969092 Enrollment ID: O20110706000516 |
Mailing Address | Practice Location Address |
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Mario Vega, LPC Po Box 66308, Houston, TX 77266-6308 Ph: (832) 548-5000 | Mario Vega, LPC 4301 Garth Rd # 306400, Baytown, TX 77521-3153 Ph: (832) 548-5000 |
Terry T Aultman, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6236 N Highway 146, Suite 9, Baytown, TX 77523 Phone: 281-918-0152 Fax: 281-918-0151 | |
Ms. Janet Elizabeth Thompson, M.A.,L.P.C.,L.M.F.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Polly St, Baytown, TX 77520 Phone: 281-422-7787 Fax: 281-422-6389 | |
Candace Southall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10314 Devinwood Dr, Baytown, TX 77523 Phone: 281-435-2609 | |
Ines Serrano Rivera, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4301 Garth Rd Ste And400, Baytown, TX 77521 Phone: 713-674-3326 | |
Mr. James Nis Staley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8326 Coleus Ln, Baytown, TX 77521 Phone: 713-309-5697 | |
Mr. Leonard G Jeffcoat, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6730 Independence Blvd, Suite 300, Baytown, TX 77521 Phone: 281-421-1524 Fax: 281-421-3484 | |
Mrs. Gabrielle Gorman Cockrell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4610 Alamance St, Baytown, TX 77521 Phone: 281-424-9130 |