Mr Georgia Ann Williams, LPC | |
5825 Phelan Blvd Ste 101, Beaumont, TX 77706-6200 | |
(409) 860-5553 | |
(409) 860-5777 |
Full Name | Mr Georgia Ann Williams |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 5825 Phelan Blvd Ste 101, Beaumont, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629086129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 15527 (Texas) | Primary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
Mailing Address | Practice Location Address |
---|---|
Mr Georgia Ann Williams, LPC 5825 Phelan Blvd Ste 101, Beaumont, TX 77706-6200 Ph: (409) 860-5553 | Mr Georgia Ann Williams, LPC 5825 Phelan Blvd Ste 101, Beaumont, TX 77706-6200 Ph: (409) 860-5553 |
Mr. Jeffrey M Ross, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9055 Manion Dr, Beaumont, TX 77706 Phone: 409-866-0976 Fax: 409-866-8190 | |
Ms. Lisa Paige Lasalle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 Fannin St, Beaumont, TX 77701 Phone: 409-833-2668 | |
Mrs. Nina Elizabeth Crabtree, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2750 S 8th St, Beaumont, TX 77701 Phone: 409-839-1000 Fax: 409-839-1066 | |
Courtlyn Raye Hale, M.ED., LPC Counselor Medicare: Medicare Enrolled Practice Location: 3380 Fannin St, Beaumont, TX 77701 Phone: 409-832-6223 | |
Mrs. Rita Kay Drake, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2750 S 8th St, Beaumont, TX 77701 Phone: 409-839-1000 Fax: 409-839-1066 | |
Betty Jo Reynolds, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2750 S 8th St, Beaumont, TX 77701 Phone: 409-839-1000 Fax: 409-839-1066 | |
Ms. Carole Susan Miller, LICENSED PROFESSIONA Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Interstate 10 North, Suite 201, Beaumont, TX 77707 Phone: 409-898-3081 Fax: 409-833-4811 |