Samuel Mitton, | |
2853 Crockett St Apt 307, Fort Worth, TX 76107-2993 | |
(940) 367-1471 | |
Not Available |
Full Name | Samuel Mitton |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2853 Crockett St Apt 307, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598259558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 88003 (Texas) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
Entity Name | Heather D Perez Lpc Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851883961 PECOS PAC ID: 9133568488 Enrollment ID: O20240418003477 |
Mailing Address | Practice Location Address |
---|---|
Samuel Mitton, 2853 Crockett St Apt 307, Fort Worth, TX 76107-2993 Ph: (940) 367-1471 | Samuel Mitton, 2853 Crockett St Apt 307, Fort Worth, TX 76107-2993 Ph: (940) 367-1471 |
Jamie L Cole, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Case Management, Fort Worth, TX 76104 Phone: 682-885-3991 | |
Ms. Yolanda Valenzuela, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1480 | |
Mrs. Kathleen Margaret Bass, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3901 Kirby Dr, #1014, Fort Worth, TX 76155 Phone: 817-915-0359 | |
Felice Mayes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2928 W 5th St, Fort Worth, TX 76107 Phone: 817-332-6348 Fax: 817-332-6489 | |
Jessica Batts, MA, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 Bridge St, Ste. 300, Fort Worth, TX 76112 Phone: 682-292-8413 | |
Carrie Rimato, Counselor Medicare: Medicare Enrolled Practice Location: 9840 Gallatin Ln, Fort Worth, TX 76177 Phone: 979-236-8325 | |
Brittany Leann Kirk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 7th Ave Ste 2100, Fort Worth, TX 76104 Phone: 682-885-1480 Fax: 682-885-3600 |