| Mys Counseling & Assessment Pllc | |
|
20351 Highway 6 Ste B Manvel TX 77578-3807 | |
| (979) 233-1584 | |
| Not Available |
| Full Name | Mys Counseling & Assessment Pllc |
|---|---|
| Speciality | Counselor |
| Location | 20351 Highway 6 Ste B, Manvel, Texas |
| Authorized Official Name and Position | Lydia Ruth Giordano (PARTNER) |
| Authorized Official Contact | 9792331584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mys Counseling & Assessment Pllc 20351 Highway 6 Ste B Manvel TX 77578-3807 Ph: (979) 233-1584 | Mys Counseling & Assessment Pllc 20351 Highway 6 Ste B Manvel TX 77578-3807 Ph: (979) 233-1584 |
| NPI Number | 1144879586 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/03/2023 |
| Medicare PECOS PAC ID | 5991149957 |
|---|---|
| Medicare Enrollment ID | O20240216004206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144879586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| Provider Name | Rhonda R West |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740797026 PECOS PAC ID: 4789036021 Enrollment ID: I20240123000358 |
| Provider Name | Lindsay Shelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669058426 PECOS PAC ID: 6800230863 Enrollment ID: I20240216004258 |
| Provider Name | Jia Michelle Leblanc |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669093555 PECOS PAC ID: 5890134696 Enrollment ID: I20240412001686 |
| Provider Name | Eric Michael Carr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649874322 PECOS PAC ID: 0547609646 Enrollment ID: I20240423001640 |
| Provider Name | Kendall Gay Grimm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568126167 PECOS PAC ID: 7810338787 Enrollment ID: I20240509000486 |
| Provider Name | Maira Carrillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780453357 PECOS PAC ID: 4789025396 Enrollment ID: I20240514002740 |
| Provider Name | Breanna Michelle Bunger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023884350 PECOS PAC ID: 3375985401 Enrollment ID: I20240521003205 |
| Provider Name | Ricky Don Ertell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962656025 PECOS PAC ID: 0749454908 Enrollment ID: I20240528001150 |
| Provider Name | Lydia Ruth Giordano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215447909 PECOS PAC ID: 7618311671 Enrollment ID: I20240603002108 |
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