Shyrea Minton, | |
11582 Bing St, Beaumont, CA 92223-6378 | |
(626) 498-9940 | |
Not Available |
Full Name | Shyrea Minton |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 11582 Bing St, Beaumont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578292389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 251 (California) | Secondary |
101YM0800X | Counselor - Mental Health | LPCC251 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Shyrea Minton, 438 S Hollenbeck Ave, Covina, CA 91723-2923 Ph: (626) 498-9940 | Shyrea Minton, 11582 Bing St, Beaumont, CA 92223-6378 Ph: (626) 498-9940 |
Eleanor Silva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14700 Manzanita Park Rd, Beaumont, CA 92223 Phone: 951-845-3155 | |
Ms. Cassie Michelle Campbell, LPCC, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1661 Milford Way, Beaumont, CA 92223 Phone: 951-227-7182 | |
Melissa Linda Bautista, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 W 4th St, Beaumont, CA 92223 Phone: 951-878-5199 | |
Brittney A Butrick, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 Edgar Ave Apt A, Beaumont, CA 92223 Phone: 909-222-4073 | |
Frida Katharine Jacinto, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 14700 Manzanita Rd, Beaumont, CA 92223 Phone: 951-845-3155 | |
Keith Goshay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 953 Avenal Way, Beaumont, CA 92223 Phone: 951-505-3552 | |
Mr. Steven Muir Moffatt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14700 Manzanita Park Rd, Beaumont, CA 92223 Phone: 951-845-3155 Fax: 951-845-8412 |