| Walisha M Blackmore, M ED, LPC-S | |
|
2512 Nall St, Port Neches, TX 77651-4706 | |
| (409) 727-5785 | |
| (409) 729-0465 |
| Full Name | Walisha M Blackmore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2512 Nall St, Port Neches, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992853063 | NPI | - | NPPES |
| 0283715-03 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 15296 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Walisha M Blackmore, M ED, LPC-S 2100 19th Street, Port Arthur, TX 77640 Ph: (409) 344-2790 | Walisha M Blackmore, M ED, LPC-S 2512 Nall St, Port Neches, TX 77651-4706 Ph: (409) 727-5785 |
Brandon Michael Roberts, M.ED., NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1219 Dallas St, Port Neches, TX 77651 Phone: 409-234-5777 Fax: 877-250-4835 | |
Deann Marie Wills, LPC, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2054 Nall St, Port Neches, TX 77651 Phone: 406-540-2055 | |
Sharon Lackey, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2420 Port Neches Ave Ofc A, Port Neches, TX 77651 Phone: 409-853-4699 Fax: 866-883-6818 | |
Lisa L Shoemaker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 890 Sierra Dr, Port Neches, TX 77651 Phone: 409-720-7360 | |
Ashley Nicole Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3161 Fellswood Ln, Port Neches, TX 77651 Phone: 409-549-2055 Fax: 409-344-9046 | |
Laurie Howell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 890 Sierra Dr, Port Neches, TX 77651 Phone: 409-540-2055 | |
Amanda Chism, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1219 Dallas St, Port Neches, TX 77651 Phone: 409-234-5776 |