| Supportive Care Llc | |
|
1201 Colonel Dr Garland TX 75043-1303 | |
| (732) 797-9387 | |
| Not Available |
| Full Name | Supportive Care Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1201 Colonel Dr, Garland, Texas |
| Authorized Official Name and Position | Joel Meisels (PRESIDENT) |
| Authorized Official Contact | 7185061115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Care Llc Po Box 1250 Monsey NY 10952-8349 Ph: (718) 506-1115 | Supportive Care Llc 1201 Colonel Dr Garland TX 75043-1303 Ph: (732) 797-9387 |
| NPI Number | 1477895043 |
|---|---|
| Provider Enumeration Date | 03/21/2013 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Medicare PECOS PAC ID | 7719126655 |
|---|---|
| Medicare Enrollment ID | O20130625000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477895043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Frank A Fee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841246642 PECOS PAC ID: 2365425840 Enrollment ID: I20040608000831 |
| Provider Name | Karan L Redus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366565426 PECOS PAC ID: 4789648247 Enrollment ID: I20041115000612 |
| Provider Name | Lynley Brooke Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669045258 PECOS PAC ID: 3072557594 Enrollment ID: I20050615000966 |
| Provider Name | Toni Topek Harvell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326157314 PECOS PAC ID: 5597701805 Enrollment ID: I20050707000887 |
| Provider Name | Mary Ann Rath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588634737 PECOS PAC ID: 9931125077 Enrollment ID: I20051018001224 |
| Provider Name | Erica F Govind Feist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518156777 PECOS PAC ID: 2466475645 Enrollment ID: I20060113000546 |
| Provider Name | Victoria J Sloan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043205198 PECOS PAC ID: 5092723007 Enrollment ID: I20060403000631 |
| Provider Name | Deborah D Hale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487607917 PECOS PAC ID: 0244242220 Enrollment ID: I20060609000087 |
| Provider Name | Elizabeth B Vaughan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124208772 PECOS PAC ID: 7810070075 Enrollment ID: I20080211000558 |
| Provider Name | Paula K Rietz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235374653 PECOS PAC ID: 0749345882 Enrollment ID: I20090224000466 |
| Provider Name | Frank Araiza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588605844 PECOS PAC ID: 2860559077 Enrollment ID: I20090316000044 |
| Provider Name | Liam Mancuso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912163528 PECOS PAC ID: 6103973169 Enrollment ID: I20090408000208 |
| Provider Name | Sharon Cashion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558478354 PECOS PAC ID: 0648464016 Enrollment ID: I20101029000479 |
| Provider Name | Deborah K Ignacio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164749529 PECOS PAC ID: 0143404517 Enrollment ID: I20110408000288 |
| Provider Name | Kimberly Lyn Baggett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679679070 PECOS PAC ID: 0446437230 Enrollment ID: I20110603000142 |
| Provider Name | Donna K Lovelace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053327056 PECOS PAC ID: 0648436295 Enrollment ID: I20120725000790 |
| Provider Name | Vanesia Regina Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376844472 PECOS PAC ID: 2860648417 Enrollment ID: I20120815000623 |
| Provider Name | Holly Jean Wallraff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245586999 PECOS PAC ID: 3870740350 Enrollment ID: I20120906000364 |
| Provider Name | William R Hester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770772386 PECOS PAC ID: 0840314118 Enrollment ID: I20130601000036 |
| Provider Name | Susan Dhayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720233273 PECOS PAC ID: 9436385408 Enrollment ID: I20131121000733 |
| Provider Name | Desiree W Kilcrease Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043211774 PECOS PAC ID: 2466492244 Enrollment ID: I20131231001105 |
| Provider Name | Teona Amble |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639593288 PECOS PAC ID: 6507099538 Enrollment ID: I20140429000364 |
| Provider Name | Teresa M Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033181136 PECOS PAC ID: 1951624873 Enrollment ID: I20141230001115 |
| Provider Name | Felicia A Humphery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417143348 PECOS PAC ID: 0648596668 Enrollment ID: I20150310000083 |
| Provider Name | Beatrix S Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639358385 PECOS PAC ID: 1850618208 Enrollment ID: I20150323001891 |
| Provider Name | Carolyn B Presnall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134512601 PECOS PAC ID: 9436477874 Enrollment ID: I20150414001810 |
| Provider Name | Karen Imala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255466611 PECOS PAC ID: 7618281809 Enrollment ID: I20150731016236 |
| Provider Name | Joy Michelle Draper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275921462 PECOS PAC ID: 8426354051 Enrollment ID: I20160308002733 |
| Provider Name | Stephen Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902121668 PECOS PAC ID: 6002114790 Enrollment ID: I20160413000997 |
| Provider Name | Heidi Rose Mandl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851746499 PECOS PAC ID: 7719276542 Enrollment ID: I20160518002062 |
| Provider Name | Devon J Superville |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487964706 PECOS PAC ID: 0547551087 Enrollment ID: I20160614001044 |
| Provider Name | Gerald D Nicklen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558496919 PECOS PAC ID: 9032405394 Enrollment ID: I20160913000983 |
| Provider Name | Nicola Seahorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235484742 PECOS PAC ID: 9537457601 Enrollment ID: I20161006000214 |
| Provider Name | Kennetha L Frye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922551431 PECOS PAC ID: 7416236799 Enrollment ID: I20161108002551 |
| Provider Name | Roman Gabriel Venegas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467704783 PECOS PAC ID: 0840579991 Enrollment ID: I20161114002079 |
| Provider Name | Susan L Brunson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528019551 PECOS PAC ID: 7416990825 Enrollment ID: I20170206001209 |
| Provider Name | Piero A Peirano Ambut |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598214447 PECOS PAC ID: 0941583389 Enrollment ID: I20170210000113 |
| Provider Name | Sara Miriam Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215180856 PECOS PAC ID: 7113200080 Enrollment ID: I20170220002209 |
| Provider Name | Alexis S Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831637586 PECOS PAC ID: 5890071682 Enrollment ID: I20170410001781 |
| Provider Name | Daniel Munoz-santamaria |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437605797 PECOS PAC ID: 4284907502 Enrollment ID: I20170908001757 |
| Provider Name | Kevin S Leslie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396123097 PECOS PAC ID: 1759649635 Enrollment ID: I20171226000050 |
| Provider Name | Dana Grammer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972762151 PECOS PAC ID: 7416204003 Enrollment ID: I20180730000069 |
| Provider Name | Juan Javier Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942787973 PECOS PAC ID: 8820346687 Enrollment ID: I20180810000245 |
| Provider Name | Lisa Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639535545 PECOS PAC ID: 5092063768 Enrollment ID: I20180813002252 |
| Provider Name | Cashuna Huddleston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639672736 PECOS PAC ID: 0345599338 Enrollment ID: I20180824000857 |
| Provider Name | Mark Andrew Sams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982183604 PECOS PAC ID: 7810247558 Enrollment ID: I20180830001312 |
| Provider Name | Frank Quinones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114268562 PECOS PAC ID: 7810247434 Enrollment ID: I20180831001634 |
| Provider Name | Antoinette Winters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801077755 PECOS PAC ID: 4183977309 Enrollment ID: I20181105001561 |
| Provider Name | Lynsay Erin Gaines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619491701 PECOS PAC ID: 1052659034 Enrollment ID: I20190218001281 |
| Provider Name | Loyce Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366713877 PECOS PAC ID: 5799027041 Enrollment ID: I20190507001075 |
| Provider Name | Adam Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235588591 PECOS PAC ID: 2961736905 Enrollment ID: I20190626000426 |
| Provider Name | Carnesha L Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306405592 PECOS PAC ID: 2062746845 Enrollment ID: I20190627002594 |
| Provider Name | Lindsey Lang Best |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467778464 PECOS PAC ID: 4981932605 Enrollment ID: I20190820000686 |
| Provider Name | Joan W Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871997999 PECOS PAC ID: 6901167774 Enrollment ID: I20190918000118 |
| Provider Name | Rhonda Lakecha Osby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093233017 PECOS PAC ID: 6204167307 Enrollment ID: I20191003001709 |
| Provider Name | Ashlei Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205163458 PECOS PAC ID: 9537592787 Enrollment ID: I20191203000694 |
| Provider Name | Nicole Elizabeth Weakley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316570435 PECOS PAC ID: 3870924400 Enrollment ID: I20200514000219 |
| Provider Name | David L Nash |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871691238 PECOS PAC ID: 9537245832 Enrollment ID: I20200623000527 |
| Provider Name | Jessica E Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790305829 PECOS PAC ID: 4284056920 Enrollment ID: I20200625001158 |
| Provider Name | Keren- Happuch Lynne Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285250696 PECOS PAC ID: 4981026689 Enrollment ID: I20200625003188 |
| Provider Name | Alicia Michele Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104341395 PECOS PAC ID: 8628308988 Enrollment ID: I20200728001266 |
| Provider Name | Pamela Mandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922617166 PECOS PAC ID: 0840616447 Enrollment ID: I20200813000952 |
| Provider Name | Roberto Mcclure Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194337477 PECOS PAC ID: 1456779495 Enrollment ID: I20200908002664 |
| Provider Name | Sharen Ann Torrence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508385758 PECOS PAC ID: 7214355338 Enrollment ID: I20200922000455 |
| Provider Name | Tammy Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629617873 PECOS PAC ID: 9133547292 Enrollment ID: I20200922001675 |
| Provider Name | Misty Denile East |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194213447 PECOS PAC ID: 8022362102 Enrollment ID: I20200928002343 |
| Provider Name | Johnishau Leigh Herring |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457958845 PECOS PAC ID: 9638589831 Enrollment ID: I20201028003072 |
| Provider Name | Portia Lashune Hopkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538775291 PECOS PAC ID: 6406266915 Enrollment ID: I20201111001459 |
| Provider Name | Reginald Keith Riggins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649818550 PECOS PAC ID: 7719391622 Enrollment ID: I20210203001990 |
| Provider Name | Hannah Huggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497347991 PECOS PAC ID: 6305252404 Enrollment ID: I20210316001632 |
| Provider Name | Jeremiah Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265018428 PECOS PAC ID: 1557779352 Enrollment ID: I20210415001836 |
| Provider Name | Karen June Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194358499 PECOS PAC ID: 9133538036 Enrollment ID: I20210505002141 |
| Provider Name | Stephanie Kim Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235434507 PECOS PAC ID: 0941420798 Enrollment ID: I20210514001820 |
| Provider Name | Charity Marie Sophus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326633900 PECOS PAC ID: 7315346608 Enrollment ID: I20210518001742 |
| Provider Name | Brittney Lollis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306467121 PECOS PAC ID: 7113326844 Enrollment ID: I20210528000597 |
| Provider Name | Devin Ray Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982194478 PECOS PAC ID: 6204237555 Enrollment ID: I20210624002043 |
| Provider Name | Rebecca Mayfield Wedel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609441914 PECOS PAC ID: 6800297029 Enrollment ID: I20210625000987 |
| Provider Name | Renequa M Burch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619544277 PECOS PAC ID: 1951704204 Enrollment ID: I20210723000685 |
| Provider Name | Jacqueline Alejandra Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669147294 PECOS PAC ID: 5496150658 Enrollment ID: I20210826000241 |
| Provider Name | Shermanna Lashayla Ugoh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750054581 PECOS PAC ID: 1456757715 Enrollment ID: I20210913000109 |
| Provider Name | Mindy Nicole Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053645283 PECOS PAC ID: 6709274954 Enrollment ID: I20211021000834 |
| Provider Name | Muyiwa Arike Elesho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558959924 PECOS PAC ID: 9234527771 Enrollment ID: I20211102002067 |
| Provider Name | Therese Marie Korth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932440658 PECOS PAC ID: 7214277854 Enrollment ID: I20211110001136 |
| Provider Name | Patricia Eleanor Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194481788 PECOS PAC ID: 9537558465 Enrollment ID: I20211116001189 |
| Provider Name | Robert Hall Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417111568 PECOS PAC ID: 0345250841 Enrollment ID: I20211117000174 |
| Provider Name | James Robert Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366105330 PECOS PAC ID: 5991194664 Enrollment ID: I20211118001008 |
| Provider Name | Rachel Leah Golfeiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871250118 PECOS PAC ID: 0941690119 Enrollment ID: I20211201002601 |
| Provider Name | Teshia Eppinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740831411 PECOS PAC ID: 7810387883 Enrollment ID: I20211206001968 |
| Provider Name | Tiffany Binata Gaston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326706334 PECOS PAC ID: 7810387495 Enrollment ID: I20211214002836 |
| Provider Name | Catherine Oudin Mettauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992471221 PECOS PAC ID: 0840681813 Enrollment ID: I20211229002418 |
| Provider Name | Erin Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629739677 PECOS PAC ID: 7911927280 Enrollment ID: I20220107000762 |
| Provider Name | Omagbitse Jagha |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164181970 PECOS PAC ID: 5597157404 Enrollment ID: I20220126000347 |
| Provider Name | David Lee Mccluskey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255008439 PECOS PAC ID: 4688066541 Enrollment ID: I20220126002748 |
| Provider Name | Rebecca Rae Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003461013 PECOS PAC ID: 0143614370 Enrollment ID: I20220303001208 |
| Provider Name | Leila El Bathy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982046322 PECOS PAC ID: 1153644455 Enrollment ID: I20220505001240 |
| Provider Name | Ashley J Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447874078 PECOS PAC ID: 0244632735 Enrollment ID: I20220510000102 |
| Provider Name | Reneka Dujuan Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962875583 PECOS PAC ID: 4789965658 Enrollment ID: I20220609000505 |
| Provider Name | Robb Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033308747 PECOS PAC ID: 0446639736 Enrollment ID: I20220616000646 |
| Provider Name | Gena Csw Panatieri |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740931971 PECOS PAC ID: 8022490192 Enrollment ID: I20220805001548 |
| Provider Name | Kami Lynn Bowersox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699408351 PECOS PAC ID: 9931581949 Enrollment ID: I20220806000636 |
| Provider Name | Ann Elizabeth Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609512342 PECOS PAC ID: 3779969316 Enrollment ID: I20221004003849 |
| Provider Name | Shannon Michelle Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538542147 PECOS PAC ID: 7810364023 Enrollment ID: I20221101000937 |
| Provider Name | Lakesha Stidum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891107660 PECOS PAC ID: 5698020980 Enrollment ID: I20221115001084 |
| Provider Name | Eugeny P Tilvaldiev |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710604426 PECOS PAC ID: 7719355452 Enrollment ID: I20221130001011 |
| Provider Name | Markia Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356721203 PECOS PAC ID: 1951779651 Enrollment ID: I20221201000090 |
| Provider Name | Sophia George |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639896947 PECOS PAC ID: 1456720978 Enrollment ID: I20221206000056 |
| Provider Name | Mary Landers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235887357 PECOS PAC ID: 5890164354 Enrollment ID: I20221206001997 |
| Provider Name | Juanita Mildred Rubio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831800960 PECOS PAC ID: 9133599681 Enrollment ID: I20221228001424 |
| Provider Name | Stephanie Jean Ebarb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700599008 PECOS PAC ID: 6901277797 Enrollment ID: I20230113000053 |
| Provider Name | Caroline Monica Roberts-daley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306234422 PECOS PAC ID: 6204207640 Enrollment ID: I20230124000506 |
| Provider Name | Amanda Jane Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841623907 PECOS PAC ID: 6901277870 Enrollment ID: I20230201001374 |
| Provider Name | Chavonn Marsha Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972977189 PECOS PAC ID: 0244602696 Enrollment ID: I20230210001345 |
| Provider Name | Chakakhan Jarreau-griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649570912 PECOS PAC ID: 4385816941 Enrollment ID: I20230217002312 |
| Provider Name | Karla Marie Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891494621 PECOS PAC ID: 4486028354 Enrollment ID: I20230315001912 |
| Provider Name | Stephanie Ann Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629777800 PECOS PAC ID: 2365816147 Enrollment ID: I20230317000366 |
| Provider Name | Amanda Toohey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619676889 PECOS PAC ID: 2769856335 Enrollment ID: I20230322000538 |
| Provider Name | Diana R Stepp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255047437 PECOS PAC ID: 8820462419 Enrollment ID: I20230322001223 |
| Provider Name | Melodie Mariah Cabitac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598154353 PECOS PAC ID: 5799159141 Enrollment ID: I20230327000052 |
| Provider Name | April Michelle Maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417669326 PECOS PAC ID: 9830564939 Enrollment ID: I20230403001484 |
| Provider Name | Lesa Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821790619 PECOS PAC ID: 1759756570 Enrollment ID: I20230410001765 |
| Provider Name | Megan Marie Cerney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821616293 PECOS PAC ID: 7416322920 Enrollment ID: I20230417000023 |
| Provider Name | Carmen Gentry-becerra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104512573 PECOS PAC ID: 0840656146 Enrollment ID: I20230511000964 |
| Provider Name | Jamaica M Harrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285367318 PECOS PAC ID: 0941667273 Enrollment ID: I20230601001024 |
| Provider Name | Jessica Elmildra Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386352086 PECOS PAC ID: 5890154413 Enrollment ID: I20230629002812 |
| Provider Name | Ariana Danielle Detert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841405768 PECOS PAC ID: 5890156442 Enrollment ID: I20230731001391 |
| Provider Name | Robin Lynn Neely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689743841 PECOS PAC ID: 6709247745 Enrollment ID: I20230807002619 |
| Provider Name | Anabel Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659067254 PECOS PAC ID: 7719349919 Enrollment ID: I20230821002342 |
| Provider Name | Dequita L Frost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770285686 PECOS PAC ID: 0840653119 Enrollment ID: I20230905000881 |
| Provider Name | Chyecaria Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396349239 PECOS PAC ID: 5799149373 Enrollment ID: I20230914003989 |
| Provider Name | Ibelis Buzzetta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790326361 PECOS PAC ID: 2466816772 Enrollment ID: I20230919003111 |
| Provider Name | Brittanny Gilpin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639809783 PECOS PAC ID: 5597119966 Enrollment ID: I20231004000661 |
| Provider Name | Cecilia T Briseno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821335571 PECOS PAC ID: 1254786536 Enrollment ID: I20231005001996 |
| Provider Name | Relindis Washie Ndifor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871284141 PECOS PAC ID: 8729433008 Enrollment ID: I20231005002390 |
| Provider Name | Carley Exiga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619749694 PECOS PAC ID: 5092162677 Enrollment ID: I20231104000255 |
| Provider Name | Latoyia Shauntel Medina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285324285 PECOS PAC ID: 0749637106 Enrollment ID: I20231107003841 |
| Provider Name | Trisha Ann Nowak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063284495 PECOS PAC ID: 5395193320 Enrollment ID: I20231130002655 |
| Provider Name | Leslie M. Garber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407546773 PECOS PAC ID: 4284085549 Enrollment ID: I20240110005237 |
| Provider Name | Zayle Dawn Riddle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356012819 PECOS PAC ID: 0648629980 Enrollment ID: I20240111000078 |
| Provider Name | Paulette Maureen Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043828999 PECOS PAC ID: 4082050513 Enrollment ID: I20240307000215 |
| Provider Name | Frantine Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265114490 PECOS PAC ID: 2062858442 Enrollment ID: I20240307001894 |
| Provider Name | Angela Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578281135 PECOS PAC ID: 3971949363 Enrollment ID: I20240307002317 |
| Provider Name | Catherine Fagan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598024911 PECOS PAC ID: 4486091717 Enrollment ID: I20240322001218 |
| Provider Name | Mary Tomutsa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114278249 PECOS PAC ID: 3779920764 Enrollment ID: I20240326003322 |
| Provider Name | Winnie Bosire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801533179 PECOS PAC ID: 2163860685 Enrollment ID: I20240403002112 |
| Provider Name | Ciera T Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720840564 PECOS PAC ID: 6800235797 Enrollment ID: I20240411001313 |
| Provider Name | Roy Lee Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720518947 PECOS PAC ID: 6507205895 Enrollment ID: I20240419000741 |
| Provider Name | Kathie Diane Gathings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457698672 PECOS PAC ID: 8921449612 Enrollment ID: I20240513001424 |
| Provider Name | Jacqueline Noel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134406648 PECOS PAC ID: 2961844188 Enrollment ID: I20240520002666 |
| Provider Name | Jennifer Sue Morse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497210678 PECOS PAC ID: 5092254359 Enrollment ID: I20240829004647 |
| Provider Name | Kimberly Hargrove Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669208195 PECOS PAC ID: 0648711242 Enrollment ID: I20240923004145 |
| Provider Name | Sheri L Strickland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922738509 PECOS PAC ID: 7113458415 Enrollment ID: I20240926003665 |
| Provider Name | Rhonda Sue Welch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821389065 PECOS PAC ID: 8123559440 Enrollment ID: I20240926004571 |
Hitesh Pandya Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2696 W Walnut St, Garland, TX 75042 Phone: 469-440-5566 | |
Blueprints At Room For Change Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 618 Clara Barton Blvd Ste 7, Garland, TX 75042 Phone: 214-385-5445 | |
Rrb Mind Soulutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Plantation Rd, Garland, TX 75044 Phone: 214-334-0029 | |
Comkey Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4222 Rosehill Rd, Suite 10, Garland, TX 75043 Phone: 800-994-1031 Fax: 888-755-0789 | |
Summit Psychiatric Associates, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2696 W Walnut St, Garland, TX 75042 Phone: 469-573-1890 | |
Seeking Dreams Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1919 S Shiloh Rd # 650h, Garland, TX 75042 Phone: 214-785-8329 |