Sally K. Moseley, Lpc, P.a. | |
1800 W Loop 281 Suite 207 Longview TX 75604-2568 | |
(903) 297-4592 | |
Not Available |
Full Name | Sally K. Moseley, Lpc, P.a. |
---|---|
Speciality | Counselor - Professional |
Location | 1800 W Loop 281, Longview, Texas |
Authorized Official Name and Position | Sally K Moseley (OWNER) |
Authorized Official Contact | 9032974592 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sally K. Moseley, Lpc, P.a. 1800 W Loop 281 Suite 207 Longview TX 75604-2568 Ph: (903) 297-4592 | Sally K. Moseley, Lpc, P.a. 1800 W Loop 281 Suite 207 Longview TX 75604-2568 Ph: (903) 297-4592 |
NPI Number | 1609088301 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 06/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609088301 | NPI | - | NPPES |
1013006113 | Other | NPI INDIVIDUAL | |
028712001 | Medicaid | TX | |
19GT | Other | TX | BLUE CROSS BLUE SHIELD |
84049L | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 14242 (Texas) | Primary |
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 |