| New Leaf Services, Llc | |
|
911 E Hwy 377 Suite 104 Granbury TX 76048-1242 | |
| (855) 579-5323 | |
| (855) 579-5323 |
| Full Name | New Leaf Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 911 E Hwy 377, Granbury, Texas |
| Authorized Official Name and Position | Amanda Duncan (BILLING AND CREDENTIALING) |
| Authorized Official Contact | 8555795323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Services, Llc 911 E Hwy 377 Suite 104 Granbury TX 76048-1242 Ph: (855) 579-5323 | New Leaf Services, Llc 911 E Hwy 377 Suite 104 Granbury TX 76048-1242 Ph: (855) 579-5323 |
| NPI Number | 1497117980 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 03/23/2016 |
| Medicare PECOS PAC ID | 4082909486 |
|---|---|
| Medicare Enrollment ID | O20200831003043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497117980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Bryan C Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891937900 PECOS PAC ID: 5799117818 Enrollment ID: I20191112000401 |
| Provider Name | Lisa Michele Smith Barrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871037580 PECOS PAC ID: 6406207794 Enrollment ID: I20240111001042 |
| Provider Name | Beth Deskin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265013395 PECOS PAC ID: 8628421757 Enrollment ID: I20240125000932 |
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