The Gulf Coast Center | |
4444 W Main St League City TX 77573-1737 | |
(409) 763-2373 | |
(409) 978-2401 |
Full Name | The Gulf Coast Center |
---|---|
Speciality | Psychiatry & Neurology |
Location | 4444 W Main St, League City, Texas |
Authorized Official Name and Position | Rick Elizondo (CFO) |
Authorized Official Contact | 4097632839 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
The Gulf Coast Center 4444 W Main St League City TX 77573-1737 Ph: (409) 763-2373 | The Gulf Coast Center 4444 W Main St League City TX 77573-1737 Ph: (409) 763-2373 |
NPI Number | 1245285899 |
---|---|
Provider Enumeration Date | 05/23/2006 |
Last Update Date | 06/28/2024 |
Certification Date | 06/28/2024 |
Medicare PECOS PAC ID | 6204821895 |
---|---|
Medicare Enrollment ID | O20040414001641 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245285899 | NPI | - | NPPES |
135222109 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (Texas) | Primary |
Provider Name | John M Janes |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497813224 PECOS PAC ID: 4880688126 Enrollment ID: I20040412000280 |
Provider Name | Arif M Shoaib |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407838394 PECOS PAC ID: 1850374695 Enrollment ID: I20040611000394 |
Provider Name | Robert C Strayhan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1023178043 PECOS PAC ID: 7810980828 Enrollment ID: I20040817000043 |
Provider Name | Murali Veeramachaneni |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851374367 PECOS PAC ID: 8729041777 Enrollment ID: I20041110000497 |
Provider Name | Robin D Mallett |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336150465 PECOS PAC ID: 1850337676 Enrollment ID: I20050701000572 |
Provider Name | Pamela J Petersen-crair |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1023127271 PECOS PAC ID: 8820004278 Enrollment ID: I20060222000831 |
Provider Name | Sandra Mcelroy |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376601328 PECOS PAC ID: 9335141977 Enrollment ID: I20070209000448 |
Provider Name | Melissa R Valdez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891822599 PECOS PAC ID: 9638268790 Enrollment ID: I20071128000158 |
Provider Name | Laurel Blackman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1194752576 PECOS PAC ID: 5294816773 Enrollment ID: I20080123000152 |
Provider Name | Tracie M Dejarnette Holly |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1699786681 PECOS PAC ID: 5890790109 Enrollment ID: I20080227000401 |
Provider Name | Avrim Brett Fishkind |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1093727943 PECOS PAC ID: 2466539804 Enrollment ID: I20080409000300 |
Provider Name | Cynthia M Sigur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619151636 PECOS PAC ID: 2062583016 Enrollment ID: I20080623000612 |
Provider Name | Steffani L Powell |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1881870244 PECOS PAC ID: 7719051499 Enrollment ID: I20080729000376 |
Provider Name | Yufang J Chang |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1093918807 PECOS PAC ID: 3870651433 Enrollment ID: I20081027000083 |
Provider Name | Sudha Tayi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972573392 PECOS PAC ID: 8325107782 Enrollment ID: I20081030000464 |
Provider Name | Preeti Sodhi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033268065 PECOS PAC ID: 7113089152 Enrollment ID: I20081229000377 |
Provider Name | Olen Baker |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1093807554 PECOS PAC ID: 3779629027 Enrollment ID: I20090930000317 |
Provider Name | Wanda K Terry |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1982714424 PECOS PAC ID: 5496756660 Enrollment ID: I20091008000093 |
Provider Name | Gary D Lefkof |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356570253 PECOS PAC ID: 9537207949 Enrollment ID: I20091104000721 |
Provider Name | Holly Colleen Dubois |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518086511 PECOS PAC ID: 4880773092 Enrollment ID: I20100513001132 |
Provider Name | Nilesh J Patel |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407860513 PECOS PAC ID: 5991888703 Enrollment ID: I20100603000716 |
Provider Name | Lisamar Maldonado |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316127467 PECOS PAC ID: 2163555970 Enrollment ID: I20100730000539 |
Provider Name | Amanda R Rizzari |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1881894707 PECOS PAC ID: 1557553500 Enrollment ID: I20101008000236 |
Provider Name | Stephen Dai |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629271432 PECOS PAC ID: 0244416964 Enrollment ID: I20110513000655 |
Provider Name | Ziba Rezaee |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1902066236 PECOS PAC ID: 5092983908 Enrollment ID: I20110720000553 |
Provider Name | Lisa M Doguet |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1902000565 PECOS PAC ID: 4880864404 Enrollment ID: I20110908001986 |
Provider Name | Christy Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467739672 PECOS PAC ID: 9537335344 Enrollment ID: I20111228000727 |
Provider Name | Prakash S Shet |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1285606327 PECOS PAC ID: 0648172312 Enrollment ID: I20120314000810 |
Provider Name | Virginia L Allen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801090212 PECOS PAC ID: 9335309665 Enrollment ID: I20120324000022 |
Provider Name | Abila F Awan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1952486979 PECOS PAC ID: 8224130638 Enrollment ID: I20120612000265 |
Provider Name | Christopher Chee |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447480173 PECOS PAC ID: 9537325329 Enrollment ID: I20120723000914 |
Provider Name | Justin James Parrott |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053677179 PECOS PAC ID: 5597921924 Enrollment ID: I20120730000285 |
Provider Name | Patricia H Vanwinkle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861778755 PECOS PAC ID: 4587811229 Enrollment ID: I20120830000769 |
Provider Name | Johnes B Monyoncho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427301597 PECOS PAC ID: 4587815048 Enrollment ID: I20121108000620 |
Provider Name | Cesar De Paz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1568620672 PECOS PAC ID: 1254570294 Enrollment ID: I20130624000034 |
Provider Name | Lyle B Montgomery |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730208158 PECOS PAC ID: 7315855491 Enrollment ID: I20130709000231 |
Provider Name | Edythe P Harvey |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124109160 PECOS PAC ID: 6406099183 Enrollment ID: I20130828000272 |
Provider Name | Darice M Rodriguez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043479892 PECOS PAC ID: 0042453607 Enrollment ID: I20130829000271 |
Provider Name | Kellye N Singletary |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063433324 PECOS PAC ID: 5698918480 Enrollment ID: I20130829000722 |
Provider Name | Rosalynn Nelson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336371582 PECOS PAC ID: 0648413195 Enrollment ID: I20130830000488 |
Provider Name | Mark Schuchman |
---|---|
Provider Type | Practitioner - Geriatric Psychiatry |
Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20131104001245 |
Provider Name | Rabab Rizvi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326269382 PECOS PAC ID: 6002042165 Enrollment ID: I20131119001280 |
Provider Name | Seema S Varghees |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1568625044 PECOS PAC ID: 5193953313 Enrollment ID: I20140116000155 |
Provider Name | Marikje O Shreeve |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134450067 PECOS PAC ID: 4587793815 Enrollment ID: I20140205000454 |
Provider Name | Linesse Md Vega |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114105897 PECOS PAC ID: 6002047206 Enrollment ID: I20140402000550 |
Provider Name | Yan Cao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033443700 PECOS PAC ID: 9830232263 Enrollment ID: I20140513001481 |
Provider Name | Rohini Ravindran |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508091265 PECOS PAC ID: 4688899834 Enrollment ID: I20140702001883 |
Provider Name | Victor G Stiebel |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164423364 PECOS PAC ID: 7719889278 Enrollment ID: I20140811000605 |
Provider Name | Donovan A Wong |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1437315967 PECOS PAC ID: 4082752688 Enrollment ID: I20140904002674 |
Provider Name | Gollavelli Krishna |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1871754036 PECOS PAC ID: 5092779223 Enrollment ID: I20141018000097 |
Provider Name | Michele Wang |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942473442 PECOS PAC ID: 7012181183 Enrollment ID: I20141111000893 |
Provider Name | Deana G Abdel-reheim |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467696591 PECOS PAC ID: 7315169984 Enrollment ID: I20141114001510 |
Provider Name | Frieda Aboul-fotouh |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1437394293 PECOS PAC ID: 5799950564 Enrollment ID: I20141215001438 |
Provider Name | Theresa Diem-hang Bui |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144576414 PECOS PAC ID: 7214253962 Enrollment ID: I20150224001338 |
Provider Name | Silby J George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518362623 PECOS PAC ID: 5294053914 Enrollment ID: I20150409000662 |
Provider Name | Zahra T Alimohammad |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1114248978 PECOS PAC ID: 5799003133 Enrollment ID: I20150414001842 |
Provider Name | Shiny Abraham |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1740456144 PECOS PAC ID: 8527218841 Enrollment ID: I20150422001948 |
Provider Name | Cheryl A Sartain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255648051 PECOS PAC ID: 2163619784 Enrollment ID: I20150422002103 |
Provider Name | Shaheena Minhas |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750461141 PECOS PAC ID: 7911147723 Enrollment ID: I20150424002062 |
Provider Name | Natalia Kazakevich |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447570999 PECOS PAC ID: 6608180542 Enrollment ID: I20150805008027 |
Provider Name | Ashutosh Atri |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1215294004 PECOS PAC ID: 2668638693 Enrollment ID: I20150929002661 |
Provider Name | John D Walsh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790169738 PECOS PAC ID: 7810206620 Enrollment ID: I20151019000741 |
Provider Name | Odochi P Onungwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811373673 PECOS PAC ID: 4183790678 Enrollment ID: I20151125000322 |
Provider Name | John Kenny |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750449732 PECOS PAC ID: 9739102716 Enrollment ID: I20151217000691 |
Provider Name | Anandkumar B Panchal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629453303 PECOS PAC ID: 7810291408 Enrollment ID: I20160202000337 |
Provider Name | Nicolas D Brown |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1023243995 PECOS PAC ID: 9032387576 Enrollment ID: I20160330001073 |
Provider Name | Kamesha Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659742211 PECOS PAC ID: 0648577981 Enrollment ID: I20160331000332 |
Provider Name | Flavio Casoy |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992032908 PECOS PAC ID: 7214106657 Enrollment ID: I20160427000281 |
Provider Name | Jamila Y Woods |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962871632 PECOS PAC ID: 8527367085 Enrollment ID: I20160504002063 |
Provider Name | Edgar Samuel Medina |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598045981 PECOS PAC ID: 9234429465 Enrollment ID: I20160601000140 |
Provider Name | Deepak Kumar |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548403827 PECOS PAC ID: 7911022959 Enrollment ID: I20161025002615 |
Provider Name | Christine Kessel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710430624 PECOS PAC ID: 8022396662 Enrollment ID: I20161102000051 |
Provider Name | Biren P Patel |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932543311 PECOS PAC ID: 8729368477 Enrollment ID: I20161215000175 |
Provider Name | Gina K In |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861759672 PECOS PAC ID: 1658652938 Enrollment ID: I20161228000795 |
Provider Name | Jeffrey Bayless |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598201972 PECOS PAC ID: 4587948286 Enrollment ID: I20170224000321 |
Provider Name | David Gavito |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255777215 PECOS PAC ID: 0840579371 Enrollment ID: I20170816003139 |
Provider Name | Alicia A Vasquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861915266 PECOS PAC ID: 0941573588 Enrollment ID: I20170905000037 |
Provider Name | Elizabeth Samuels |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558885582 PECOS PAC ID: 6709150329 Enrollment ID: I20170920004142 |
Provider Name | Arjun G Karkhanis |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336465806 PECOS PAC ID: 9638476575 Enrollment ID: I20171208000083 |
Provider Name | Susan Zink |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1174843510 PECOS PAC ID: 5092993824 Enrollment ID: I20180117001120 |
Provider Name | Kimberly Gwen Mettetal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194911453 PECOS PAC ID: 7315925708 Enrollment ID: I20180328002127 |
Provider Name | Consuela D Witherspoon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497802516 PECOS PAC ID: 8426307372 Enrollment ID: I20180827000161 |
Provider Name | Christina S Williams |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396159679 PECOS PAC ID: 0648523282 Enrollment ID: I20181029000500 |
Provider Name | Joseph Aaron Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558845578 PECOS PAC ID: 7618221748 Enrollment ID: I20181108001293 |
Provider Name | Anna I Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346715273 PECOS PAC ID: 4385998756 Enrollment ID: I20181121001999 |
Provider Name | Judith Wangari Olepere |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497213094 PECOS PAC ID: 3375884877 Enrollment ID: I20190410002015 |
Provider Name | Kelly A Campbell |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1205240611 PECOS PAC ID: 9739478595 Enrollment ID: I20190828002958 |
Provider Name | Scott J Tlanda |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720440431 PECOS PAC ID: 6507283793 Enrollment ID: I20200902002186 |
Provider Name | Kristin Holt |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235882218 PECOS PAC ID: 4183017304 Enrollment ID: I20220211001174 |
Provider Name | Eneida F Miranda |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598293284 PECOS PAC ID: 6305266123 Enrollment ID: I20220815002830 |
Provider Name | Beverly A Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467549139 PECOS PAC ID: 6608877931 Enrollment ID: I20230810001817 |
Provider Name | Debbie R Williams |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750721569 PECOS PAC ID: 4284082686 Enrollment ID: I20231124000456 |
Provider Name | Shana D Toney |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750039129 PECOS PAC ID: 6002264405 Enrollment ID: I20231124000460 |
Provider Name | Sandra L Patterson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1942348610 PECOS PAC ID: 7810345212 Enrollment ID: I20231124000464 |
Provider Name | Casey W Duty |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1356489108 PECOS PAC ID: 8729436126 Enrollment ID: I20231124000471 |
Provider Name | Diane R Manley |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417735259 PECOS PAC ID: 0547618944 Enrollment ID: I20231124000475 |
Provider Name | Lizeth Rojas-mcdaniel |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1780105916 PECOS PAC ID: 8022466044 Enrollment ID: I20231130002154 |
Provider Name | Amy R Smith |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1487966776 PECOS PAC ID: 5698123289 Enrollment ID: I20231205002250 |
Provider Name | Janine R Evans |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1962540815 PECOS PAC ID: 5890143481 Enrollment ID: I20231207002101 |
Provider Name | Denysse Lizbeth Guzman |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1134836174 PECOS PAC ID: 3678921103 Enrollment ID: I20231207002507 |
Provider Name | Cheryl L Crosby |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1811234974 PECOS PAC ID: 2860840451 Enrollment ID: I20231207002982 |
Provider Name | Bridget A Camarillo |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1467059022 PECOS PAC ID: 8325496912 Enrollment ID: I20231207003130 |
Provider Name | Amanda B Groller |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1043414071 PECOS PAC ID: 1153779608 Enrollment ID: I20231207003267 |
Provider Name | Joe Rene Morales |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1023193232 PECOS PAC ID: 6507214053 Enrollment ID: I20231208000604 |
Provider Name | Alma D Garcia |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1134247828 PECOS PAC ID: 5092163683 Enrollment ID: I20231208000703 |
Provider Name | Kara Gurley |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1134689367 PECOS PAC ID: 8426407081 Enrollment ID: I20231208000809 |
Provider Name | Melisa Morrison |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1700932092 PECOS PAC ID: 6406205061 Enrollment ID: I20231208000902 |
Provider Name | Jessica Gentry |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1215289202 PECOS PAC ID: 8729438627 Enrollment ID: I20231218004369 |
Provider Name | Pamela Thuem |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598543365 PECOS PAC ID: 0446692750 Enrollment ID: I20240531000386 |
Provider Name | Amy Mcmahon |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1841065190 PECOS PAC ID: 1850833567 Enrollment ID: I20240610003057 |
Chiobi Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2123 Yorktown Ct S, League City, TX 77573 Phone: 281-337-5390 Fax: 281-614-5788 | |
Change Of Mind Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Reynolds Ave, League City, TX 77573 Phone: 281-620-9785 | |
Truhart Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 N Michigan Ave, League City, TX 77573 Phone: 832-895-9945 | |
Thrive Family Counseling-league City Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Enterprise Ave Ste 650, League City, TX 77573 Phone: 281-562-7583 | |
Nicholas A. Oleen-junk, Ph.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 N Michigan Ave, League City, TX 77573 Phone: 281-332-5100 Fax: 281-332-5155 | |
Behavior Management Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 Saint Charles St, League City, TX 77573 Phone: 713-299-9082 | |
New Way Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 N Michigan Ave, League City, TX 77573 Phone: 281-332-5100 |