| Nicole Gayleen Porterpan-cassell, LPC, CSC | |
|
4119 Montrose Blvd Ste 500, Houston, TX 77006-4970 | |
| (512) 653-4439 | |
| Not Available |
| Full Name | Nicole Gayleen Porterpan-cassell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4119 Montrose Blvd Ste 500, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811763436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YS0200X | Counselor - School | (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 88788 (Texas) | Primary |
| Entity Name | Deep Eddy Psychotherapy Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457740862 PECOS PAC ID: 2264886936 Enrollment ID: O20230928002745 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Gayleen Porterpan-cassell, LPC, CSC 14026 Wolftrap Ln, Conroe, TX 77384-5619 Ph: () - | Nicole Gayleen Porterpan-cassell, LPC, CSC 4119 Montrose Blvd Ste 500, Houston, TX 77006-4970 Ph: (512) 653-4439 |
Dr. Dalia Mattis, ED D Counselor Medicare: Not Enrolled in Medicare Practice Location: 5450 Nw Central Dr Ste 109, Houston, TX 77092 Phone: 713-895-0062 Fax: 713-895-0062 | |
Mrs. Stella Adachi Offodirinwa, PLMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 9401 Southwest Fwy, Houston, TX 77074 Phone: 713-970-3344 | |
Dauphine Lashawn Billingsley, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 6027 Quiet Village Ct, Houston, TX 77053 Phone: 281-835-0058 | |
Nakeisha Quian Washington, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5315b Cypress Creek Pkwy Ste 366, Houston, TX 77069 Phone: 832-850-6422 Fax: 832-850-7852 | |
Linda Carol Horton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4314 Yoakum Blvd, Houston, TX 77006 Phone: 713-850-0049 Fax: 713-627-7302 | |
Jennifer Marie Marroquin, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8876 Gulf Fwy Ste 420, Houston, TX 77017 Phone: 713-527-8558 | |
Ms. Michele Jones Dial, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 W 22nd St Ste 100, Houston, TX 77008 Phone: 713-380-1151 |