Shannon Lyn Sorensen, | |
7901 Metropolis Dr, Austin, TX 78744-3111 | |
(800) 423-2111 | |
Not Available |
Full Name | Shannon Lyn Sorensen |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 7901 Metropolis Dr, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194469361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
Mailing Address | Practice Location Address |
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Shannon Lyn Sorensen, 8671 Sw Loop 410 Lot 330, San Antonio, TX 78242-2981 Ph: (210) 636-4569 | Shannon Lyn Sorensen, 7901 Metropolis Dr, Austin, TX 78744-3111 Ph: (800) 423-2111 |
Mr. David A Miller, LPC, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 West Ave Ste B, Austin, TX 78701 Phone: 512-608-2024 | |
Ms. Virginia Adams Bloom, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 S 1st St Ste 200, Austin, TX 78704 Phone: 512-627-0390 Fax: 512-288-1909 | |
Trina K Bluford Ita, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 E Cesar Chavez St, Austin, TX 78702 Phone: 888-823-9194 Fax: 888-708-9413 | |
Laura Violeta Duenas-guerrero, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2525 Wallingwood Dr, Bldg. 8, Ste. 800, Austin, TX 78746 Phone: 512-348-8713 | |
Paula Nicholas Storrer, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 W 8th St, Austin, TX 78703 Phone: 512-925-2412 | |
Amanda Lorina Cartwright, LCSW, LCDC Counselor Medicare: Accepting Medicare Assignments Practice Location: 4005 Spicewood Springs Rd Ste B401, Austin, TX 78759 Phone: 512-807-0898 | |
Jessica Lynn Stewart, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5015 S Ih 35, Austin, TX 78744 Phone: 512-804-3202 |