Ms Lisa M Domengeaux, MED | |
25511 Budde Rd Ste 1002, Spring, TX 77380-2089 | |
(281) 719-5539 | |
(281) 715-4742 |
Full Name | Ms Lisa M Domengeaux |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 25511 Budde Rd Ste 1002, Spring, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730663873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 79369 (Texas) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa M Domengeaux, MED 162 Rushwing Pl, The Woodlands, TX 77381-4319 Ph: (281) 719-5539 | Ms Lisa M Domengeaux, MED 25511 Budde Rd Ste 1002, Spring, TX 77380-2089 Ph: (281) 719-5539 |
Mrs. Lyndsay Nicole Baxley, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2602 Lexington Woods Dr, Spring, TX 77373 Phone: 713-447-9114 | |
Robin Mehdi Vassef, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 Rayford Rd, Spring, TX 77386 Phone: 832-832-2640 | |
Dr. Annie L Jones, PHD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26205 Oak Ridge Dr., Suite 106, Spring, TX 77380 Phone: 936-292-9503 Fax: 281-466-8605 | |
Jennifer L Metzler, LPC, LMFT-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 3806 Brea Ct, Spring, TX 77386 Phone: 832-277-4952 | |
Jasmine Henderson, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 22442 Highfield Ridge Ln, Spring, TX 77373 Phone: 713-885-3588 | |
Brian Williams, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2002 Timberloch Pl Ste 200, Spring, TX 77380 Phone: 832-345-3790 | |
Mr. Justin Mckissick, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Rayford Park Rd, Spring, TX 77386 Phone: 925-207-1521 |