| Sarah Street, Llc | |
|
3455 Sarah St Beaumont TX 77705-2906 | |
| (713) 942-8100 | |
| (713) 533-1408 |
| Full Name | Sarah Street, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3455 Sarah St, Beaumont, Texas |
| Authorized Official Name and Position | Troy Marsaw (PRES/CEO) |
| Authorized Official Contact | 7139428100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Street, Llc 3007 Caroline St Houston TX 77004-2822 Ph: (713) 942-8100 | Sarah Street, Llc 3455 Sarah St Beaumont TX 77705-2906 Ph: (713) 942-8100 |
| NPI Number | 1962094748 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 04/27/2021 |
| Certification Date | 04/27/2021 |
| Medicare PECOS PAC ID | 0648679928 |
|---|---|
| Medicare Enrollment ID | O20210519002151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962094748 | NPI | - | NPPES |
| Provider Name | Marilyn J Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265501050 PECOS PAC ID: 8820059942 Enrollment ID: I20041022000112 |
| Provider Name | Iesha Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275709412 PECOS PAC ID: 4385791599 Enrollment ID: I20090403000456 |
| Provider Name | Christle D Colbert |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649439712 PECOS PAC ID: 2264688050 Enrollment ID: I20120810000026 |
| Provider Name | Rahsheda Denise Perine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891096426 PECOS PAC ID: 1153556634 Enrollment ID: I20131109000312 |
| Provider Name | Freda D Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922293356 PECOS PAC ID: 1254524648 Enrollment ID: I20150629000056 |
| Provider Name | Tyesha Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578877007 PECOS PAC ID: 2668779406 Enrollment ID: I20160323000051 |
| Provider Name | Shanekwah F Melville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093167215 PECOS PAC ID: 7416235825 Enrollment ID: I20161104001001 |
| Provider Name | Chinetra Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255730933 PECOS PAC ID: 5890063630 Enrollment ID: I20170619002885 |
| Provider Name | Kenethia Louise Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699112979 PECOS PAC ID: 6507100377 Enrollment ID: I20181205001070 |
| Provider Name | Kia D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265081707 PECOS PAC ID: 0840629077 Enrollment ID: I20200408004693 |
| Provider Name | Onyi Obinna Duruji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609409655 PECOS PAC ID: 2567889595 Enrollment ID: I20200904000294 |
| Provider Name | Sheena N Loving |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336722172 PECOS PAC ID: 7618376898 Enrollment ID: I20210519002351 |
| Provider Name | Nettah Ndungu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386253201 PECOS PAC ID: 1557760485 Enrollment ID: I20210526002400 |
| Provider Name | Latashia R Irving |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639581911 PECOS PAC ID: 3779877998 Enrollment ID: I20210607002584 |
| Provider Name | Tonya M Holman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952816399 PECOS PAC ID: 1052709789 Enrollment ID: I20211028001522 |
| Provider Name | Sholanda Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235627597 PECOS PAC ID: 1456742733 Enrollment ID: I20211221000581 |
| Provider Name | Chantell Hebert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265889836 PECOS PAC ID: 4880064286 Enrollment ID: I20221229001316 |
| Provider Name | Shanna C Gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033658281 PECOS PAC ID: 2365883998 Enrollment ID: I20240514003817 |
| Provider Name | Uwem Ukpong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326448655 PECOS PAC ID: 6608217138 Enrollment ID: I20240514003982 |
Winnie Community Hospital Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St Ste 502, Beaumont, TX 77706 Phone: 409-899-4472 Fax: 409-899-9795 | |
Beaumont Psychological Services Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St, Suite107, Beaumont, TX 77706 Phone: 409-899-3244 Fax: 409-898-3153 | |
Family Services Of Southeast Texas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Interstate 10 N, Suite 140, Beaumont, TX 77702 Phone: 409-833-2668 Fax: 409-899-9362 | |
Shorkey Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 S 8th St, Beaumont, TX 77701 Phone: 409-838-6568 Fax: 409-838-1337 | |
Synergy Cubed Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Louisiana St, Beaumont, TX 77702 Phone: 409-673-3234 | |
Dees Grief Coaching Services Cgc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4835 Concord Rd, Beaumont, TX 77703 Phone: 409-229-8687 | |
Cardinal Community Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4400 Mlk Boulevard, Beaumont, TX 77710 Phone: 409-880-7681 Fax: 409-880-2263 |