Mr Derek Stanley Durst, LPC | |
1224 Hawk Feather Trl, Leander, TX 78641-3969 | |
(512) 596-8296 | |
Not Available |
Full Name | Mr Derek Stanley Durst |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1224 Hawk Feather Trl, Leander, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043867948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 78422 (Texas) | Primary |
Entity Name | Brightside Medical Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230419000008 |
Mailing Address | Practice Location Address |
---|---|
Mr Derek Stanley Durst, LPC 1224 Hawk Feather Trl, Leander, TX 78641-3969 Ph: (512) 596-8296 | Mr Derek Stanley Durst, LPC 1224 Hawk Feather Trl, Leander, TX 78641-3969 Ph: (512) 596-8296 |
Lisa Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Honey Locust Cv, Leander, TX 78641 Phone: 512-784-8529 | |
Linda L Collier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 S Highway 183 Ste B, Leander, TX 78641 Phone: 512-260-0723 Fax: 512-260-7165 | |
Alesia Gonzalez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10824 E Crystal Falls Pkwy Ste 401, Leander, TX 78641 Phone: 512-522-4756 | |
Ashley Woodford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2006 S Bagdad Rd Ste 160, Leander, TX 78641 Phone: 936-307-8045 | |
Marcelle Abusalbi, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1345 Longhorn Ranch Dr, Leander, TX 78641 Phone: 737-346-9330 | |
Cynthia Speights Ince, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2301 S Bagdad Rd Ste 404, Leander, TX 78641 Phone: 512-633-7839 |