| Lia Marie Hollis, LMSW, LCDC-I | |
|
9100 W Ih 10, Ste 205, San Antonio, TX 78230-3113 | |
| (248) 924-7999 | |
| Not Available |
| Full Name | Lia Marie Hollis |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9100 W Ih 10, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699024851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801094315 (Michigan) | Primary |
| 1041C0700X | Social Worker - Clinical | 60681 (Texas) | Secondary |
| Entity Name | Harvest Center For Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093577678 PECOS PAC ID: 9931544707 Enrollment ID: O20240302000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Lia Marie Hollis, LMSW, LCDC-I 11800 Braesview, #203, San Antonio, TX 78213-4845 Ph: (248) 924-7999 | Lia Marie Hollis, LMSW, LCDC-I 9100 W Ih 10, Ste 205, San Antonio, TX 78230-3113 Ph: (248) 924-7999 |
Ms. Nadine Louise Garcia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6522 Camp Bullis Rd Apt 5203, San Antonio, TX 78256 Phone: 210-394-4868 | |
Mr. Elliot Joseph Cruz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr, 7100, San Antonio, TX 78229 Phone: 210-216-2739 | |
Ms. Lynette Edens Hutchins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25026 Summit Crk, San Antonio, TX 78258 Phone: 210-325-0660 | |
Mrs. Rebecca May Clinton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2130 Ne Loop 410 Ste 100, San Antonio, TX 78217 Phone: 210-656-7177 | |
Melissa D Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7526 Louis Pasteur Dr, #318, San Antonio, TX 78229 Phone: 210-450-6450 | |
Karen C Keating, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4203 Woodcock Dr Ste 216, San Antonio, TX 78228 Phone: 210-564-9116 Fax: 210-564-9087 | |
Kevin Lynch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4835 Medical Dr. 40314, San Antonio, TX 78229 Phone: 210-367-6904 |