| Phylette Nicole Mitchellwillis, LICENSED PSYCHOLOGIS | |
|
2200 Market St Ste 600, Galveston, TX 77550-1532 | |
| (409) 762-8636 | |
| (409) 762-4185 |
| Full Name | Phylette Nicole Mitchellwillis |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 2200 Market St Ste 600, Galveston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972755346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 33674 (Texas) | Primary |
| Entity Name | Deer Oaks Geriatric Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134169287 PECOS PAC ID: 9234034075 Enrollment ID: O20031204000440 |
| Entity Name | Family Service Center Of Galveston County, Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902871833 PECOS PAC ID: 8022038520 Enrollment ID: O20051129000754 |
| Mailing Address | Practice Location Address |
|---|---|
| Phylette Nicole Mitchellwillis, LICENSED PSYCHOLOGIS 2200 Market St Ste 600, Galveston, TX 77550-1532 Ph: (409) 762-8636 | Phylette Nicole Mitchellwillis, LICENSED PSYCHOLOGIS 2200 Market St Ste 600, Galveston, TX 77550-1532 Ph: (409) 762-8636 |
Karen E Smith, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-0848 Fax: 409-772-0885 | |
Mrs. Lorraine Elizabeth Limero, MA LPC LMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2200 Market St, Ste 412, Galveston, TX 77550 Phone: 409-765-6321 Fax: 409-762-9151 | |
Behnaz Darban, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 301 8th St, Galveston, TX 77550 Phone: 409-772-1011 | |
Dr. Simin Samie Khalajabadi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, University Of Texas Medical Branch/som- Student Affairs, Galveston, TX 77555 Phone: 409-772-6503 | |
Ms. Janice Heckman, L.M.F.T. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1023 21st St Ste 800, Suite 800, Galveston, TX 77550 Phone: 409-515-0618 | |
Myesha Morgan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 843-251-9134 | |
Glennda M Rassin, LCSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 |