Stacy Lynn Reynolds, | |
112 Shade Crest Ln, Cleveland, TX 77327-4343 | |
(281) 528-3500 | |
Not Available |
Full Name | Stacy Lynn Reynolds |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 112 Shade Crest Ln, Cleveland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134726987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 81057 (Texas) | Primary |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
Mailing Address | Practice Location Address |
---|---|
Stacy Lynn Reynolds, 112 Shade Crest Ln, Cleveland, TX 77327-4343 Ph: (281) 528-3500 | Stacy Lynn Reynolds, 112 Shade Crest Ln, Cleveland, TX 77327-4343 Ph: (281) 528-3500 |
Tiffany Ann Jackson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2004 Truman St, Cleveland, TX 77327 Phone: 281-432-3000 Fax: 936-760-2898 | |
Kayce Lynn Morgan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 E Crockett St, Cleveland, TX 77327 Phone: 832-233-3086 Fax: 832-415-3050 | |
Milagros Aguilar-castro, LPC, LCDC Counselor Medicare: Medicare Enrolled Practice Location: 307 N William Barnett Ave, Cleveland, TX 77327 Phone: 281-592-2224 | |
Shannon David Selby, Counselor Medicare: Medicare Enrolled Practice Location: 153 County Road 3810, Cleveland, TX 77328 Phone: 870-362-1857 |