Zayle Dawn Riddle, LPC | |
104 Pirate Dr, Granbury, TX 76048-5682 | |
(817) 573-2662 | |
Not Available |
Full Name | Zayle Dawn Riddle |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 104 Pirate Dr, Granbury, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356012819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Supportive Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477895043 PECOS PAC ID: 7719126655 Enrollment ID: O20130625000484 |
Mailing Address | Practice Location Address |
---|---|
Zayle Dawn Riddle, LPC 2101 W Pearl St, Granbury, TX 76048-1894 Ph: (817) 579-4400 | Zayle Dawn Riddle, LPC 104 Pirate Dr, Granbury, TX 76048-5682 Ph: (817) 573-2662 |
Rebecca Jones, LCDC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 2111 W Highway 377, Granbury, TX 76048 Phone: 817-573-6002 Fax: 817-573-6009 | |
Gary R Hively, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2111 W Hwy 377, Granbury, TX 76048 Phone: 817-573-6002 Fax: 817-573-6009 | |
Mrs. Mollie M Van Deusen, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4425 E Hyw 377, Suite 116, Granbury, TX 76049 Phone: 940-902-2632 | |
Joshua David Morrison, LCDC, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 823 Wandering Ct, Granbury, TX 76049 Phone: 817-964-2527 | |
Chancey Marie Ruiz, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2111 W Us Highway 377, Granbury, TX 76048 Phone: 817-573-6002 Fax: 817-573-6009 | |
Mason Trae Sweatt, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 W Pearl St, Granbury, TX 76048 Phone: 682-529-7613 | |
Karl Moser, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Whitehead Dr, Granbury, TX 76048 Phone: 817-573-6922 |