Mrs Diane Ellen Kizziar, LPC | |
105 Kathryn Dr Ste 230-517, Lewisville, TX 75067-4216 | |
(800) 972-0643 | |
Not Available |
Full Name | Mrs Diane Ellen Kizziar |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 105 Kathryn Dr Ste 230-517, Lewisville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881286946 | NPI | - | NPPES |
15625 | Other | TX | LCDC LICENSE |
84358 | Other | TX | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 84358 (Texas) | Primary |
Entity Name | Joyful Restoration Counseling, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306497276 PECOS PAC ID: 9830540590 Enrollment ID: O20240105004214 |
Mailing Address | Practice Location Address |
---|---|
Mrs Diane Ellen Kizziar, LPC 4576 Saint Samons St, Carrollton, TX 75010-2370 Ph: (972) 213-5391 | Mrs Diane Ellen Kizziar, LPC 105 Kathryn Dr Ste 230-517, Lewisville, TX 75067-4216 Ph: (800) 972-0643 |
Missy M. Smith, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 860 Hebron Pkwy, Lewisville, TX 75057 Phone: 469-444-2242 | |
Mrs. Casey Dudark Newman, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Kathryn Dr # 3, Lewisville, TX 75067 Phone: 800-972-0643 | |
Jessica Jean Deroche, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 571 S Edmonds Ln Ste 102, Lewisville, TX 75067 Phone: 972-436-3118 Fax: 972-453-4259 | |
Brooke Benandi, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Kathryn Dr Ste D, Lewisville, TX 75067 Phone: 800-970-0673 | |
Tanesha Lomasi Graham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2190 S Uecker Ln Apt 638, Lewisville, TX 75067 Phone: 940-634-7426 | |
Katie Huchton, LPC-A, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Kathryn Dr Ste D, Lewisville, TX 75067 Phone: 800-972-0643 | |
Ms. Crystal Chang-carter, MS, LCDC,LPC Counselor Medicare: Medicare Enrolled Practice Location: 405 State Highway 121 Byp Ste A250, Lewisville, TX 75067 Phone: 469-444-3700 |