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3805 22nd St Ste 1c Lubbock TX 79410-1142 | |
| (713) 417-6057 | |
| (713) 417-6057 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3805 22nd St Ste 1c, Lubbock, Texas |
| Authorized Official Name and Position | Gerald Wayne Pennie (LEAD COUNSELOR) |
| Authorized Official Contact | 7134176057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2735 Genoa Ave Apt 2b Lubbock TX 79407-7848 Ph: (713) 417-6057 | 3805 22nd St Ste 1c Lubbock TX 79410-1142 Ph: (713) 417-6057 |
| NPI Number | 1235667601 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 08/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235667601 | NPI | - | NPPES |
Gabrielle K Keenum Ma Lpc Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6309 Indiana Ave Ste D, Lubbock, TX 79413 Phone: 806-790-1327 Fax: 806-863-3874 | |
Lubbock Accident & Injury Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 Indiana Ave, Lubbock, TX 79413 Phone: 806-793-7246 | |
Desert Sky Family Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5504 Wayne Ave Ste 109, Lubbock, TX 79414 Phone: 806-853-7292 | |
Denovo Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2345 50th St Ste 501, Lubbock, TX 79412 Phone: 806-370-3157 Fax: 806-243-4002 | |
G. Gary Walker, Ph.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5120 29th Dr Ste D, Lubbock, TX 79407 Phone: 806-798-8855 Fax: 806-792-5715 | |
Swmh Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4413 71st St Ste G101, Lubbock, TX 79424 Phone: 806-438-8089 | |
John Cobb, M.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6502 Slide Road, Suite 311, Lubbock, TX 79424 Phone: 806-771-1386 Fax: 806-771-1388 |