Mrs Lisa Young, MED, LPC | |
6500 Boeing Dr, Suite L-150, El Paso, TX 79925-1009 | |
(915) 779-5600 | |
Not Available |
Full Name | Mrs Lisa Young |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6500 Boeing Dr, El Paso, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275654196 | NPI | - | NPPES |
65677 | Other | TX | LPC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3034 (Oklahoma) | Secondary |
101YM0800X | Counselor - Mental Health | 65677 (Texas) | Primary |
Entity Name | Choctaw Nation Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Young, MED, LPC 11774 Cpl Anthony J Carson St, El Paso, TX 79908-3227 Ph: (915) 929-6816 | Mrs Lisa Young, MED, LPC 6500 Boeing Dr, Suite L-150, El Paso, TX 79925-1009 Ph: (915) 779-5600 |
Mr. Eduardo David Pena, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Montana Ave, El Paso, TX 79902 Phone: 915-542-1582 Fax: 915-542-0494 | |
Mr. Dennis Michael Durfee, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 904 Valle Bello Ave, El Paso, TX 79932 Phone: 503-949-2819 | |
Shelby Garcia, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3210 Dyer St, El Paso, TX 79930 Phone: 575-640-4859 | |
Mr. Taj Woods, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10525 Canyon Sage Dr, El Paso, TX 79924 Phone: 915-731-6186 | |
Deborah Bernice Gutierrez, LPCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 6040 Surety Dr, El Paso, TX 79905 Phone: 915-781-9900 Fax: 915-781-9930 | |
Mary Katherine Kaiser, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Thunderbird Dr, Suite 12, El Paso, TX 79912 Phone: 915-845-3122 Fax: 915-845-4165 | |
Mrs. Elizabeth Duran, LPC-S, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8912 Turrentine Dr, El Paso, TX 79925 Phone: 915-603-2818 |