| Blank Slate Therapy | |
|
7000 Parkwood Blvd Suite G400 Frisco TX 75034-7406 | |
| (972) 345-4565 | |
| Not Available |
| Full Name | Blank Slate Therapy |
|---|---|
| Speciality | Counselor |
| Location | 7000 Parkwood Blvd, Frisco, Texas |
| Authorized Official Name and Position | Rebecca Houser (DIRECTOR) |
| Authorized Official Contact | 9723454565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blank Slate Therapy 7000 Parkwood Blvd Suite G400 Frisco TX 75034-7406 Ph: (972) 345-4565 | Blank Slate Therapy 7000 Parkwood Blvd Suite G400 Frisco TX 75034-7406 Ph: (972) 345-4565 |
| NPI Number | 1639539364 |
|---|---|
| Provider Enumeration Date | 02/23/2016 |
| Last Update Date | 02/23/2016 |
| Medicare PECOS PAC ID | 5193069219 |
|---|---|
| Medicare Enrollment ID | O20181130000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639539364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 68617 (Texas) | Primary |
| Provider Name | Judy L Rambur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871522094 PECOS PAC ID: 1951300359 Enrollment ID: I20061213000065 |
| Provider Name | Dorit Bunker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255091906 PECOS PAC ID: 5193118834 Enrollment ID: I20220202000456 |
| Provider Name | Christine Charles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508103581 PECOS PAC ID: 4789035742 Enrollment ID: I20240104000699 |
| Provider Name | Frankie Allen Hood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023418993 PECOS PAC ID: 2365893906 Enrollment ID: I20240109001253 |
| Provider Name | Danielle N Brockelman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235807066 PECOS PAC ID: 8426400102 Enrollment ID: I20240118000839 |
| Provider Name | Megan Mcmurry Shelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619488780 PECOS PAC ID: 2961854534 Enrollment ID: I20240118004117 |
| Provider Name | Rebecca Houser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386052074 PECOS PAC ID: 2264776384 Enrollment ID: I20240124000765 |
| Provider Name | Haley Nicole Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396522561 PECOS PAC ID: 7911350152 Enrollment ID: I20240124002450 |
| Provider Name | Philip Michael Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881263887 PECOS PAC ID: 3779936935 Enrollment ID: I20240124003093 |
| Provider Name | Jennifer Loeravasquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104254853 PECOS PAC ID: 5496108458 Enrollment ID: I20240126000918 |
| Provider Name | Alberto Adrian Colon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427464908 PECOS PAC ID: 1153774872 Enrollment ID: I20240130001262 |
| Provider Name | Jaclyn Holly Harlow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922251164 PECOS PAC ID: 6406290568 Enrollment ID: I20240216000092 |
| Provider Name | Diara Solite |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861906984 PECOS PAC ID: 5597109371 Enrollment ID: I20240220003590 |
| Provider Name | Michael Bodenheimer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982069696 PECOS PAC ID: 0941645014 Enrollment ID: I20240228002429 |
| Provider Name | Anish Varughese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609093855 PECOS PAC ID: 6507202132 Enrollment ID: I20240306001131 |
| Provider Name | Mollee Michelle Reitz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841667060 PECOS PAC ID: 7618313115 Enrollment ID: I20240306003676 |
| Provider Name | Sarah Alexis Silveus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265142194 PECOS PAC ID: 4789020009 Enrollment ID: I20240308003299 |
| Provider Name | Teresa D Parke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841523990 PECOS PAC ID: 3678911344 Enrollment ID: I20240401003365 |
| Provider Name | Oscar Andres Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730945247 PECOS PAC ID: 8022459106 Enrollment ID: I20240508000471 |
| Provider Name | Javier Davila-lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871033746 PECOS PAC ID: 0143762278 Enrollment ID: I20240605000348 |
| Provider Name | Janelle L Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477991818 PECOS PAC ID: 7517401987 Enrollment ID: I20240627000662 |
| Provider Name | Dianna Nickel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669851762 PECOS PAC ID: 9638610595 Enrollment ID: I20240918003224 |
| Provider Name | Sonya Monique Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053498352 PECOS PAC ID: 9436684248 Enrollment ID: I20241202003635 |
| Provider Name | Juan Chen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992532048 PECOS PAC ID: 5890221824 Enrollment ID: I20241213000187 |
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