Shirley Clary-anthony, LPC-S is a
Counselor - Mental Health based in Italy, Texas. Shirley Clary-anthony is licensed to practice in Texas (license number 17913) and her current practice location is
115 Old Blooming Grove Rd, Italy, Texas. She can be reached at her office (for appointments etc.) via phone at
(214) 212-3274.
NPI number for Shirley Clary-anthony is 1497905848 and her current mailing address is Po Box 90, Avalon, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497905848.
Healthcare Provider's Profile
| Full Name | Shirley Clary-anthony |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 115 Old Blooming Grove Rd, Italy, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497905848
- Provider Enumeration Date: 09/23/2008
- Last Update Date: 09/23/2008
Medical Identifiers
Medical identifiers for Shirley Clary-anthony such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497905848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 17913 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shirley Clary-anthony is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shirley Clary-anthony, LPC-S
Po Box 90,
Avalon, TX 76623-0090
Ph: (214) 212-3274 | Shirley Clary-anthony, LPC-S
115 Old Blooming Grove Rd,
Italy, TX 76651
Ph: (214) 212-3274 |
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