Mrs Rose Brooks Stutes, MED, LPC | |
3455 Stagg Dr, Beaumont, TX 77701-4521 | |
(832) 548-0000 | |
Not Available |
Full Name | Mrs Rose Brooks Stutes |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 3455 Stagg Dr, Beaumont, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447671987 | NPI | - | NPPES |
67903 | Other | TX | TEXAS PROFESSIONAL COUNSELOR LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 67903 (Texas) | Primary |
Entity Name | Legacy Community Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679524961 PECOS PAC ID: 7911969092 Enrollment ID: O20110706000516 |
Mailing Address | Practice Location Address |
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Mrs Rose Brooks Stutes, MED, LPC Po Box 66308, Houston, TX 77266-6308 Ph: () - | Mrs Rose Brooks Stutes, MED, LPC 3455 Stagg Dr, Beaumont, TX 77701-4521 Ph: (832) 548-0000 |
Mr. Jeffrey M Ross, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9055 Manion Dr, Beaumont, TX 77706 Phone: 409-866-0976 Fax: 409-866-8190 | |
Ms. Lisa Paige Lasalle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3550 Fannin St, Beaumont, TX 77701 Phone: 409-833-2668 | |
Mrs. Nina Elizabeth Crabtree, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2750 S 8th St, Beaumont, TX 77701 Phone: 409-839-1000 Fax: 409-839-1066 | |
Courtlyn Raye Hale, M.ED., LPC Counselor Medicare: Medicare Enrolled Practice Location: 3380 Fannin St, Beaumont, TX 77701 Phone: 409-832-6223 | |
Mrs. Rita Kay Drake, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2750 S 8th St, Beaumont, TX 77701 Phone: 409-839-1000 Fax: 409-839-1066 | |
Betty Jo Reynolds, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2750 S 8th St, Beaumont, TX 77701 Phone: 409-839-1000 Fax: 409-839-1066 | |
Ms. Carole Susan Miller, LICENSED PROFESSIONA Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Interstate 10 North, Suite 201, Beaumont, TX 77707 Phone: 409-898-3081 Fax: 409-833-4811 |