Mr Gary C Lange, PHD LMFT LCPC MS LPC is a
Marriage & Family Therapist based in Sunnyvale, Texas. Mr Gary C Lange is licensed to practice in Texas (license number 759) and his current practice location is
2862 N Beltline, Sunnyvale, Texas. He can be reached at his office (for appointments etc.) via phone at
(972) 698-8478.
NPI number for Mr Gary C Lange is 1124147079 and his current mailing address is 133 Ridgegate Dr, Garland, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124147079.
Healthcare Provider's Profile
| Full Name | Mr Gary C Lange |
|---|
| Gender | Male |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 2862 N Beltline, Sunnyvale, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124147079
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Gary C Lange such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124147079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | 75029 (Florida) | Primary |
| 101YP2500X | Counselor - Professional | 3682 (Texas) | Primary |
| 106H00000X | Marriage & Family Therapist | 759 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gary C Lange is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Gary C Lange, PHD LMFT LCPC MS LPC
133 Ridgegate Dr,
Garland, TX 75040-3557
Ph: (972) 530-0871 | Mr Gary C Lange, PHD LMFT LCPC MS LPC
2862 N Beltline,
Sunnyvale, TX 75182-9388
Ph: (972) 698-8478 |
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