Tanya Tavares, LPC | |
506 Avenue L, Dodge City, KS 67801-5319 | |
(620) 227-8566 | |
Not Available |
Full Name | Tanya Tavares |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 506 Avenue L, Dodge City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598397069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3561 (Kansas) | Primary |
Entity Name | Compass Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922058510 PECOS PAC ID: 1355323122 Enrollment ID: O20040604000376 |
Mailing Address | Practice Location Address |
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Tanya Tavares, LPC Po Box 1905, Garden City, KS 67846-1905 Ph: (620) 275-0644 | Tanya Tavares, LPC 506 Avenue L, Dodge City, KS 67801-5319 Ph: (620) 227-8566 |
Brooke Cooper, LPC Counselor Medicare: Medicare Enrolled Practice Location: 506 Avenue L, Dodge City, KS 67801 Phone: 620-227-8566 Fax: 620-225-5824 | |
Mr. Timmey M Mcclure Jr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 San Jose Room 125 East, Dodge City, KS 67801 Phone: 620-408-4728 | |
Vickie Diane Brass, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11200 Lariat Way, Dodge City, KS 67801 Phone: 620-225-0276 Fax: 620-227-5219 | |
Cindy Renee Jacobs, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2101 Us Highway 50 Byp, Dodge City, KS 67801 Phone: 620-227-8566 Fax: 620-225-5824 | |
Hattie Stein, LAC, CSAT Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Central Ave, Dodge City, KS 67801 Phone: 620-339-4543 Fax: 620-227-1572 | |
Maria C Cooper, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 506 Avenue L, Dodge City, KS 67801 Phone: 620-227-8566 | |
Mrs. Deanna Louise Barnett, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 100 Military Ave, Ste 116, Dodge City, KS 67801 Phone: 620-789-1428 Fax: 620-371-6465 |