| Allyson Levon Stuckless, MMFT, LPC | |
|
1835 E Southlake Blvd Ste 100, Southlake, TX 76092-7068 | |
| (817) 769-7687 | |
| Not Available |
| Full Name | Allyson Levon Stuckless |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1835 E Southlake Blvd Ste 100, Southlake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184247314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 83762 (Texas) | Primary |
| Entity Name | Unstuck Space, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164160099 PECOS PAC ID: 8527509835 Enrollment ID: O20240925004697 |
| Mailing Address | Practice Location Address |
|---|---|
| Allyson Levon Stuckless, MMFT, LPC 9117 Sagewood Dr Apt 3108, Fort Worth, TX 76177-2298 Ph: (817) 015-4622 | Allyson Levon Stuckless, MMFT, LPC 1835 E Southlake Blvd Ste 100, Southlake, TX 76092-7068 Ph: (817) 769-7687 |
Caitlyn Mccready, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 558 Silicon Dr Ste 102, Southlake, TX 76092 Phone: 817-415-2155 | |
Melanie Dawn Epp, LPC, LMFT, RPT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2485 E Southlake Blvd, 220, Southlake, TX 76092 Phone: 940-594-7474 Fax: 940-321-3920 | |
Catherine Tito, M.A. LPC INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 181 Grand Ave, Suite 230, Southlake, TX 76092 Phone: 817-756-1440 | |
Karisha Delvon Richards, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 W State Hwy 114, Suite 200, Southlake, TX 76092 Phone: 430-558-1645 | |
Destinee Nichole Greenwell, LPC, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 431 E State Highway 114 Ste 140, Southlake, TX 76092 Phone: 281-819-1566 | |
Karen Christensen, LPC, LSOTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-228-1336 | |
Andrea Dillow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 558 Silicon Dr Ste 102, Southlake, TX 76092 Phone: 817-415-2155 |