Shelly Jean Coufal, | |
1401 Sandia Plz, Bryan, TX 77802-4356 | |
(936) 662-6125 | |
(979) 859-7226 |
Full Name | Shelly Jean Coufal |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1401 Sandia Plz, Bryan, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184212839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 80271 (Texas) | Primary |
Entity Name | Fulfilled Journey Counseling Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578156360 PECOS PAC ID: 2062857667 Enrollment ID: O20240305000498 |
Mailing Address | Practice Location Address |
---|---|
Shelly Jean Coufal, 1401 Sandia Plz, Bryan, TX 77802-4356 Ph: (936) 662-6125 | Shelly Jean Coufal, 1401 Sandia Plz, Bryan, TX 77802-4356 Ph: (936) 662-6125 |
Kristen Wellman Tubbs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1770 Fickey Rd, Bryan, TX 77808 Phone: 979-820-1191 | |
Alyssa Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 N Main St, Bryan, TX 77803 Phone: 932-310-5629 | |
Latonya Hendricks, LPC, LSOTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4103 S Texas Ave Ste 212, Bryan, TX 77802 Phone: 979-987-1881 | |
Tricia Deanne Booth, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2402 Broadmoor, #102 A, Bryan, TX 77802 Phone: 979-229-7184 | |
Noel Neely, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4444 Carter Creek Pkwy Ste 204, Bryan, TX 77802 Phone: 979-260-6700 | |
Ms. Joan Marie Clark, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2402 Broadmoor Dr, 101-c, Bryan, TX 77802 Phone: 979-774-4134 Fax: 979-776-4804 | |
Jenna Schwartz, MA, LPA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8441 Highway 47, Clinical Building 1, Suite 1100, Bryan, TX 77807 Phone: 979-774-8200 |