| Live Oak Counseling And Wellness, Llc | |
|
107 Community Blvd Ste 2 Longview TX 75605-6186 | |
| (903) 650-9848 | |
| (903) 698-6474 |
| Full Name | Live Oak Counseling And Wellness, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 107 Community Blvd Ste 2, Longview, Texas |
| Authorized Official Name and Position | Marsha Jackson (OWNER/OPERATOR) |
| Authorized Official Contact | 9036509848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Oak Counseling And Wellness, Llc 107 Community Blvd Ste 2 Longview TX 75605-6186 Ph: (903) 650-9848 | Live Oak Counseling And Wellness, Llc 107 Community Blvd Ste 2 Longview TX 75605-6186 Ph: (903) 650-9848 |
| NPI Number | 1588434203 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Medicare PECOS PAC ID | 0143661538 |
|---|---|
| Medicare Enrollment ID | O20240516001426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588434203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Marsha Jackson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861690190 PECOS PAC ID: 3375983059 Enrollment ID: I20240429000707 |
Heather R. Mcconnell, M.a., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 W Loop 281, Suite 423, Longview, TX 75604 Phone: 903-759-2402 Fax: 903-759-2570 | |
Jonathan C. Lockhart, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 W Loop 281, Suite 111, Longview, TX 75604 Phone: 903-295-8994 Fax: 903-295-8987 | |
Core Health Systems Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1300 N 6th St # A, Longview, TX 75601 Phone: 903-232-8928 Fax: 903-918-1813 | |
Willem H. Fahrenbruck, Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3122 Nealy Way Ste 201, Longview, TX 75605 Phone: 903-452-8040 | |
Diversified Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 W Fairmont St, Suite C, Longview, TX 75604 Phone: 903-238-9553 Fax: 903-291-8709 | |
7872 Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 615 Clinic Dr, Longview, TX 75605 Phone: 903-212-3105 |