Mr Mervin Leigh Cleveland Jr, LPC | |
3010 Montgomery Rd, Huntsville, TX 77340-6022 | |
(936) 581-4274 | |
Not Available |
Full Name | Mr Mervin Leigh Cleveland Jr |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 3010 Montgomery Rd, Huntsville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174041628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 71508 (Texas) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
Mailing Address | Practice Location Address |
---|---|
Mr Mervin Leigh Cleveland Jr, LPC P.o. Box 1883, Huntsville, TX 77340 Ph: (936) 581-4274 | Mr Mervin Leigh Cleveland Jr, LPC 3010 Montgomery Rd, Huntsville, TX 77340-6022 Ph: (936) 581-4274 |
Lydia Joiner, LPC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 327 Texas Grand Rd, Huntsville, TX 77340 Phone: 281-516-8766 | |
Jacquelyn Elaine Shair, LPC, NCC, ASOTP Counselor Medicare: Medicare Enrolled Practice Location: 2521 Crosstimbers, Apt B-1, Huntsville, TX 77320 Phone: 936-577-8570 | |
Mr. Robert Daniel Robinson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Montgomery Rd, Huntsville, TX 77340 Phone: 936-581-1252 | |
Anna Deborde, Counselor Medicare: Medicare Enrolled Practice Location: 2991 State Highway 75 N, Huntsville, TX 77320 Phone: 936-348-4881 | |
Alisha Renee Gardner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1305 11th St, Huntsville, TX 77340 Phone: 936-642-0061 | |
Johnna Williams, LPC, LSOTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Town And Country Dr, Huntsville, TX 77320 Phone: 936-435-5866 | |
Melissa Sanders-devillier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1805 Highway 30 E, Huntsville, TX 77320 Phone: 936-355-3355 |