Tanya Latrice Lee, MSCP, LPC | |
8400 W Virginia Ave Apt 2044, Phoenix, AZ 85037-8377 | |
(763) 703-0298 | |
Not Available |
Full Name | Tanya Latrice Lee |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 8400 W Virginia Ave Apt 2044, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255940185 | NPI | - | NPPES |
201160590 | Medicaid | OK | |
1255940185 | Medicaid | OK | |
1275355950 | Medicaid | AZ | |
200927670 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 11291 (Oklahoma) | Primary |
Entity Name | Brightside Medical Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230911000972 |
Mailing Address | Practice Location Address |
---|---|
Tanya Latrice Lee, MSCP, LPC 8400 W Virginia Ave Apt 2044, Phoenix, AZ 85037-8377 Ph: (763) 703-0298 | Tanya Latrice Lee, MSCP, LPC 8400 W Virginia Ave Apt 2044, Phoenix, AZ 85037-8377 Ph: (763) 703-0298 |
Ms. Martha White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3306 W Catalina Dr, Phoenix, AZ 85017 Phone: 602-353-0703 Fax: 602-353-0715 | |
Philip Lee Mcdonald, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1648 S 16th St, Phoenix, AZ 85034 Phone: 714-235-1970 | |
Melinda Chapin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3640 W Osborn Rd, Phoenix, AZ 85019 Phone: 602-269-5300 Fax: 602-269-5380 | |
Beverly Seyler, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4525 E Saint Anne Ave, Phoenix, AZ 85042 Phone: 602-431-6685 | |
Mrs. Virginia Joyce Gatson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-685-1940 Fax: 602-685-1944 | |
Margaret Ann Beresford, MC, ATR-BC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4545 N. 36th Street, Suite 117, Phoenix, AZ 85018 Phone: 602-509-5771 | |
Kevin Jessup, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4214 N 19th Pl, Phoenix, AZ 85016 Phone: 602-460-5350 |