Mrs Shelley J White, LPC | |
5410 Bell St Ste 414, Amarillo, TX 79109-6222 | |
(806) 670-3755 | |
(806) 383-8789 |
Full Name | Mrs Shelley J White |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 5410 Bell St Ste 414, Amarillo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780661470 | NPI | - | NPPES |
0290363-02 | Medicaid | TX | |
029036301 | Other | TX | TPMHMR |
0290363-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 16517 (Texas) | Primary |
Entity Name | Shelley J White Lpc Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457122863 PECOS PAC ID: 5294188579 Enrollment ID: O20240202001745 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shelley J White, LPC Po Box 19178, Amarillo, TX 79114-1178 Ph: (806) 670-3755 | Mrs Shelley J White, LPC 5410 Bell St Ste 414, Amarillo, TX 79109-6222 Ph: (806) 670-3755 |
Pamela Dawn George, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3807 S. Virginia, Amarillo, TX 79109 Phone: 806-341-4200 | |
Mr. Joseph Stephen Sorenson, MA, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 719 S Austin St, Amarillo, TX 79106 Phone: 512-949-0403 | |
Brady Prescott, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 S Taylor St Ste 600, Amarillo, TX 79101 Phone: 806-316-5595 | |
Miss Chelsea Patricia Strand, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 S Taylor St, Amarillo, TX 79101 Phone: 806-354-2191 | |
Tingting Li, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 S Polk St, Amarillo, TX 79101 Phone: 806-349-5697 | |
Mrs. Tatum Raye Burdis, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7470 Golden Pond Pl Ste 300, Amarillo, TX 79121 Phone: 806-356-9047 Fax: 806-356-9046 | |
Ivy Hazel Bermudez, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1145 Shasta Dr, Amarillo, TX 79110 Phone: 806-678-5652 |