Ms Shannon L Deitch, LPC | |
105 N Gordon St, Suite 202, Alvin, TX 77511-2718 | |
(281) 585-0000 | |
(281) 585-0080 |
Full Name | Ms Shannon L Deitch |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 105 N Gordon St, Alvin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639592843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 66956 (Texas) | Primary |
101YP2500X | Counselor - Professional | 66956 (Texas) | Secondary |
Entity Name | Sld Counseling Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568018349 PECOS PAC ID: 7214372804 Enrollment ID: O20240305003898 |
Mailing Address | Practice Location Address |
---|---|
Ms Shannon L Deitch, LPC 3913 Spring Circle Dr E, Pearland, TX 77584-9385 Ph: (281) 788-6807 | Ms Shannon L Deitch, LPC 105 N Gordon St, Suite 202, Alvin, TX 77511-2718 Ph: (281) 585-0000 |
Ms. Jimmie Sue Siptak, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 E Sealy St, Alvin, TX 77511 Phone: 281-585-0000 Fax: 281-585-0080 | |
Kassandra Flores, M.ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 N Gordon St Ste 202, Alvin, TX 77511 Phone: 346-774-1774 | |
Ms. Wyneatte Lachina Fox, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 1111 W Adoue St, Alvin, TX 77511 Phone: 281-824-1480 Fax: 281-220-6407 | |
Claire Campbell Powell, M.S., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 N Gordon St Ste 202, Alvin, TX 77511 Phone: 346-347-5265 | |
Mrs. Bonnie Mondragon, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1111 W Adoue St, Alvin, TX 77511 Phone: 832-457-8854 | |
Kelli Pinac Nickel, Counselor Medicare: Medicare Enrolled Practice Location: 105 N Gordon St Ste 202, Alvin, TX 77511 Phone: 346-774-1774 | |
Shanteria Sherise Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 N Gordon St, Alvin, TX 77511 Phone: 346-774-1774 |