| Coastal Bend Wellness Foundation Inc | |
|
2882 Holly Rd. Corpus Christi TX 78415 | |
| (361) 814-2001 | |
| (361) 883-1998 |
| Full Name | Coastal Bend Wellness Foundation Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2882 Holly Rd., Corpus Christi, Texas |
| Authorized Official Name and Position | Bill Jeron Hoelscher (CEO) |
| Authorized Official Contact | 3618142001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Bend Wellness Foundation Inc 5633 S Staples St Ste 700 Corpus Christi TX 78411-4679 Ph: (361) 814-2001 | Coastal Bend Wellness Foundation Inc 2882 Holly Rd. Corpus Christi TX 78415 Ph: (361) 814-2001 |
| NPI Number | 1144523671 |
|---|---|
| Provider Enumeration Date | 12/06/2010 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 9931422649 |
|---|---|
| Medicare Enrollment ID | O20150106000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144523671 | NPI | - | NPPES |
| 291803903 | Medicaid | TX |
| Provider Name | Richard J Guajardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992925663 PECOS PAC ID: 5799793337 Enrollment ID: I20060323000635 |
| Provider Name | Sandra G Rodrigues |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700999497 PECOS PAC ID: 8224102942 Enrollment ID: I20080729000745 |
| Provider Name | Rolando Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174844633 PECOS PAC ID: 0143467282 Enrollment ID: I20130509000566 |
| Provider Name | John O Lusins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689846701 PECOS PAC ID: 8123290533 Enrollment ID: I20130815000785 |
| Provider Name | Rosa Amada Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588006308 PECOS PAC ID: 8921242314 Enrollment ID: I20130925000685 |
| Provider Name | Virginia Elizabeth Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386992154 PECOS PAC ID: 3476783051 Enrollment ID: I20190603002681 |
| Provider Name | David Aaron Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255986204 PECOS PAC ID: 7810227097 Enrollment ID: I20191002000072 |
| Provider Name | Marissa S Leal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265071260 PECOS PAC ID: 2062849664 Enrollment ID: I20200220000968 |
| Provider Name | Inger Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851944631 PECOS PAC ID: 8527489632 Enrollment ID: I20200528000080 |
| Provider Name | Eric Gerald Spicuzza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629505680 PECOS PAC ID: 9537560719 Enrollment ID: I20210624003360 |
| Provider Name | Patricia Mullan-waldrop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538559562 PECOS PAC ID: 9436474343 Enrollment ID: I20210812001555 |
| Provider Name | Davy Shepherd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457810715 PECOS PAC ID: 1850761487 Enrollment ID: I20221222002700 |
| Provider Name | Catherine Jalomo Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548989254 PECOS PAC ID: 7214307594 Enrollment ID: I20230102000273 |
| Provider Name | Susannah Marrisa Alba-padron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538936802 PECOS PAC ID: 3173966470 Enrollment ID: I20240202002746 |
| Provider Name | Lindsay H Prado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962891887 PECOS PAC ID: 3577834910 Enrollment ID: I20240213002724 |
| Provider Name | Lina Lara |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134501935 PECOS PAC ID: 8921445826 Enrollment ID: I20240327003525 |
| Provider Name | Patricia Shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336126747 PECOS PAC ID: 7113365495 Enrollment ID: I20240405000082 |
| Provider Name | Ruth Marie Luna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962740902 PECOS PAC ID: 1355789447 Enrollment ID: I20240409002680 |
| Provider Name | Audrey Mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497511638 PECOS PAC ID: 0941648984 Enrollment ID: I20240409004780 |
| Provider Name | Elizabeth Marie Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104407535 PECOS PAC ID: 2163860016 Enrollment ID: I20240410003895 |
| Provider Name | Jessica Marie Limon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275150922 PECOS PAC ID: 7911346259 Enrollment ID: I20240418003214 |
Corpus Christi Class Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4230 S. Padre Island Dr., Suite B, Corpus Christi, TX 78411 Phone: 361-855-1886 | |
Beach Blue Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6113 Saratoga Blvd, Ste F #115, Corpus Christi, TX 78414 Phone: 850-359-6444 Fax: 850-502-8091 | |
Coastal Bend Neurology Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5920 Saratoga Blvd, Suite 500, Corpus Christi, TX 78414 Phone: 361-994-8883 | |
Carroll Ann Williams Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5151 Flynn Pkwy Ste 412f, Corpus Christi, TX 78411 Phone: 361-290-9330 | |
Circles Of Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5333 Everhart Rd Ste 150b, Corpus Christi, TX 78411 Phone: 361-852-3812 Fax: 361-852-6124 | |
Coastal Bend Psychiatric Associates P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6625 Wooldridge Rd, Ste 201, Corpus Christi, TX 78414 Phone: 361-993-8358 Fax: 361-993-8874 | |
Macy Kinzel, Ph.d., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3434 S Alameda St, Corpus Christi, TX 78411 Phone: 361-855-2710 Fax: 361-855-4204 |