Yu Gyoung Park, | |
10816 Crown Colony Dr Ste 100, Austin, TX 78747-1639 | |
(855) 284-7483 | |
(617) 807-0958 |
Full Name | Yu Gyoung Park |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 10816 Crown Colony Dr Ste 100, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295441038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 84662 (Texas) | Primary |
Entity Name | Healing Paths Online Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073265955 PECOS PAC ID: 3577916808 Enrollment ID: O20240202000094 |
Mailing Address | Practice Location Address |
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Yu Gyoung Park, Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483 | Yu Gyoung Park, 10816 Crown Colony Dr Ste 100, Austin, TX 78747-1639 Ph: (855) 284-7483 |
Mr. David A Miller, LPC, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 West Ave Ste B, Austin, TX 78701 Phone: 512-608-2024 | |
Ms. Virginia Adams Bloom, MED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 S 1st St Ste 200, Austin, TX 78704 Phone: 512-627-0390 Fax: 512-288-1909 | |
Trina K Bluford Ita, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 E Cesar Chavez St, Austin, TX 78702 Phone: 888-823-9194 Fax: 888-708-9413 | |
Laura Violeta Duenas-guerrero, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2525 Wallingwood Dr, Bldg. 8, Ste. 800, Austin, TX 78746 Phone: 512-348-8713 | |
Paula Nicholas Storrer, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 W 8th St, Austin, TX 78703 Phone: 512-925-2412 | |
Amanda Lorina Cartwright, LCSW, LCDC Counselor Medicare: Accepting Medicare Assignments Practice Location: 4005 Spicewood Springs Rd Ste B401, Austin, TX 78759 Phone: 512-807-0898 | |
Jessica Lynn Stewart, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5015 S Ih 35, Austin, TX 78744 Phone: 512-804-3202 |