Timothy Michael Johnston Ii, | |
7205 S Lake Bliss Cir, Corpus Christi, TX 78414-1100 | |
(805) 459-3658 | |
Not Available |
Full Name | Timothy Michael Johnston Ii |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 7205 S Lake Bliss Cir, Corpus Christi, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851088785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
Entity Name | Assurasource Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194746016 PECOS PAC ID: 8123125580 Enrollment ID: O20070518000258 |
Entity Name | Grow Healthcare Group Pa |
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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 |
---|---|
Timothy Michael Johnston Ii, 7205 S Lake Bliss Cir, Corpus Christi, TX 78414-1100 Ph: (805) 459-3658 | Timothy Michael Johnston Ii, 7205 S Lake Bliss Cir, Corpus Christi, TX 78414-1100 Ph: (805) 459-3658 |
Ms. D. Charlene Hackett, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7252 Mansions Dr, Corpus Christi, TX 78414 Phone: 360-304-0392 | |
Robert Keith Martin, BA LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 S Alameda, Ste 150, Corpus Christi, TX 78404 Phone: 361-854-9199 Fax: 361-888-9250 | |
Mrs. Edra B Saavedra, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Waco St, Corpus Christi, TX 78401 Phone: 361-886-1484 | |
Brenda Kay Brown, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3434 S Alameda St, Corpus Christi, TX 78411 Phone: 361-855-2710 Fax: 361-855-4204 | |
Mrs. Raquel Lobaina, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4610 Coody Ln, Corpus Christi, TX 78413 Phone: 305-799-9609 | |
Mr. Robert Reed Berlin Jr., M.ED., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3833 S Staples St, S-213, Corpus Christi, TX 78411 Phone: 361-945-5840 | |
Jaime Tuggle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 321 Texan Trl Ste 210, Corpus Christi, TX 78411 Phone: 361-654-0204 Fax: 361-654-0207 |