Mrs Mercedes Ludivina Clement, LPCI | |
6265 39th St, Groves, TX 77619-4614 | |
(409) 962-4400 | |
(409) 962-4412 |
Full Name | Mrs Mercedes Ludivina Clement |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6265 39th St, Groves, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609474634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 84156 (Texas) | Primary |
Entity Name | Roussel Clement Mdpa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720147762 PECOS PAC ID: 4486655446 Enrollment ID: O20070118000416 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mercedes Ludivina Clement, LPCI 6265 39th St, Groves, TX 77619-4614 Ph: (409) 962-4400 | Mrs Mercedes Ludivina Clement, LPCI 6265 39th St, Groves, TX 77619-4614 Ph: (409) 962-4400 |
Mrs. Frances Alysoun Marks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4757 Main Ave, Groves, TX 77619 Phone: 409-963-2331 Fax: 409-963-2346 | |
Miss April N Collins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6230 39th St Unit 1727, Groves, TX 77619 Phone: 409-504-7763 | |
Mrs. Amber Malescha Banken, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4757 Main Ave, Groves, TX 77619 Phone: 409-963-2331 |