Mr Jerred Preston White, MA, LCDC, LPC | |
2101 Fm 1187 Ste A, Crowley, TX 76036-4643 | |
(817) 381-0633 | |
Not Available |
Full Name | Mr Jerred Preston White |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2101 Fm 1187 Ste A, Crowley, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548869985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 84157 (Texas) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
Mailing Address | Practice Location Address |
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Mr Jerred Preston White, MA, LCDC, LPC 2101 Fm 1187 Ste A, Crowley, TX 76036-4643 Ph: (682) 253-5510 | Mr Jerred Preston White, MA, LCDC, LPC 2101 Fm 1187 Ste A, Crowley, TX 76036-4643 Ph: (817) 381-0633 |
Ms. La Kesha Washington, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 729 Owens Dr, Crowley, TX 76036 Phone: 817-202-5991 | |
Phyllis Ann Powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Lincoln Ln, Crowley, TX 76036 Phone: 817-266-2227 | |
Paula Michelle Manning, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 156 Hirth Dr, Crowley, TX 76036 Phone: 817-235-0642 | |
Natasha C Jones, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 524 Merton Ct, Crowley, TX 76036 Phone: 772-272-8674 | |
Tiffany Alfred, LPC-S, LMFT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 10651 Old Cleburne Crowley Jct, Crowley, TX 76036 Phone: 628-200-9686 | |
Jodi Nicholson, PHD, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 N Tarrant St Ste 101, Crowley, TX 76036 Phone: 682-463-1012 | |
Mrs. Marcie Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4220 Leeds Dr, Crowley, TX 76036 Phone: 817-521-8291 |