Rod R Ryder, LPC | |
4200 Stuart St, Greenville, TX 75401-5759 | |
(903) 454-0300 | |
Not Available |
Full Name | Rod R Ryder |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 4200 Stuart St, Greenville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164580684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 13039 (Texas) | Primary |
Entity Name | Lakes Regional Mental Health Mental Retardation Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881752715 PECOS PAC ID: 9739175225 Enrollment ID: O20040421000795 |
Mailing Address | Practice Location Address |
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Rod R Ryder, LPC 400 Airport Rd, Po Box, Terrell, TX 75160-4302 Ph: (972) 524-4159 | Rod R Ryder, LPC 4200 Stuart St, Greenville, TX 75401-5759 Ph: (903) 454-0300 |
Shirley Allen, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5604 Wesley St Ste 103, Greenville, TX 75402 Phone: 903-274-4140 | |
Nathaniel David Brinlee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 I 30 Ste 100, Greenville, TX 75402 Phone: 903-274-4140 | |
Stacy A Shock, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4115 Joe Ramsey Blvd E Apt 258, Greenville, TX 75401 Phone: 903-274-6532 | |
Shelley Hall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3101 Joe Ramsey Blvd E Ste 103a, Greenville, TX 75401 Phone: 903-494-5771 Fax: 903-494-5772 | |
Steven Neal, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5604 Wesley St Ste 103, Greenville, TX 75402 Phone: 903-274-4140 | |
Emily Dunleavy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3224 County Road 3311, Greenville, TX 75402 Phone: 903-217-9148 | |
Timothy T Malone, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2718 Wesley St Ste C, Greenville, TX 75401 Phone: 903-455-9090 |