Mary A Pilsitz, LPC, LCDC | |
3555 Knickerbocker Rd, San Angelo, TX 76904-7610 | |
(325) 747-8033 | |
Not Available |
Full Name | Mary A Pilsitz |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3555 Knickerbocker Rd, San Angelo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811762917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 12365 (Texas) | Secondary |
101YP2500X | Counselor - Professional | 86145 (Texas) | Primary |
Entity Name | Shannon Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
Mailing Address | Practice Location Address |
---|---|
Mary A Pilsitz, LPC, LCDC 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (325) 747-8033 | Mary A Pilsitz, LPC, LCDC 3555 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (325) 747-8033 |
Joan Patricia Deming-combs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3821 High Meadow Dr, San Angelo, TX 76904 Phone: 325-212-4742 | |
Vanessa Rae King, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3131 Executive Dr, San Angelo, TX 76904 Phone: 325-262-1982 | |
Mr. Joshua Jibben, LCDC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 3553 W Houston Harte Expy, San Angelo, TX 76901 Phone: 325-224-7236 | |
Savannah Torres, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 3131 Executive Dr, San Angelo, TX 76904 Phone: 325-947-5021 | |
Mr. Bryan Mitchell Elliott, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Johnson Ave, San Angelo, TX 76904 Phone: 325-949-3701 Fax: 325-947-3585 | |
Mr. Armando Dominguez, M.S., LPC Counselor Medicare: Medicare Enrolled Practice Location: 917 S Abe St, #b4, San Angelo, TX 76903 Phone: 325-650-0330 Fax: 866-652-9689 | |
Stephanie Lynn Thomas, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10694 Twin Lakes Ln, San Angelo, TX 76904 Phone: 325-450-4954 |