Mr Thomas G Goodman, LPC | |
1309 S University Dr, Nacogdoches, TX 75961-6486 | |
(936) 560-5668 | |
Not Available |
Full Name | Mr Thomas G Goodman |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1309 S University Dr, Nacogdoches, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508941212 | NPI | - | NPPES |
1719478-01 | Medicaid | TX | |
7514LC | Other | TX | BLUE CROSS BLUE SHIELD TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 19383 (Texas) | Primary |
Entity Name | East Texas Community Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255367090 PECOS PAC ID: 9830089796 Enrollment ID: O20040316001153 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas G Goodman, LPC Po Box 632040, Nacogdoches, TX 75963-2040 Ph: (936) 585-7121 | Mr Thomas G Goodman, LPC 1309 S University Dr, Nacogdoches, TX 75961-6486 Ph: (936) 560-5668 |
Mrs. Hannah Wagley Jones, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3726 Raguet St, Nacogdoches, TX 75965 Phone: 903-707-4337 | |
Jennifer Proctor Adkins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4611 Nw Stallings Dr, Nacogdoches, TX 75964 Phone: 936-554-6464 | |
Stephanie Knott, Counselor Medicare: Medicare Enrolled Practice Location: 4632 Ne Stallings Dr Ste 100, Nacogdoches, TX 75965 Phone: 936-569-6849 | |
Felicia Cox, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3524 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-560-6855 | |
Ms. Jane D. Barker, LPC, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 903 North St, Nacogdoches, TX 75961 Phone: 936-615-7731 | |
Sarah Joy Owens, LPC-S Counselor Medicare: Medicare Enrolled Practice Location: 507 E Hospital St Ste 107, Nacogdoches, TX 75961 Phone: 936-205-1847 Fax: 936-305-8218 | |
Katelynne Flowers, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1808 South St, Nacogdoches, TX 75964 Phone: 936-305-3070 |