Stephanie Renee Mccoy, | |
620 E Concho St, Rockport, TX 78382-4116 | |
(361) 727-0988 | |
Not Available |
Full Name | Stephanie Renee Mccoy |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 620 E Concho St, Rockport, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003655705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 88737 (Texas) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Coastal Plains Community Mhmr |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962552109 PECOS PAC ID: 1557337490 Enrollment ID: O20040902000680 |
Mailing Address | Practice Location Address |
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Stephanie Renee Mccoy, 200 Marriott Dr, Portland, TX 78374-2213 Ph: () - | Stephanie Renee Mccoy, 620 E Concho St, Rockport, TX 78382-4116 Ph: (361) 727-0988 |
Jonathan Marcus Heyward, LPC Counselor Medicare: Medicare Enrolled Practice Location: 620 East Concho, Rockport, TX 78382 Phone: 361-727-0988 Fax: 361-727-0991 | |
Mrs. Pamela S Tomberlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 B Main Street, Rockport, TX 78382 Phone: 361-729-0633 Fax: 361-790-8527 | |
Mrs. Amanda Lynn Brown, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Nell Ave, Rockport, TX 78382 Phone: 361-205-7672 | |
Ms. Anne Mourtaja, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 N Church St, Rockport, TX 78382 Phone: 361-729-0633 Fax: 361-790-8527 | |
Mrs. Sharon G Sanders, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Magnolia St, Rockport, TX 78382 Phone: 361-727-0143 Fax: 361-727-2036 | |
George B Ragland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 E Concho St, Rockport, TX 78382 Phone: 361-727-0988 |