| Audra A Blythe, LPC | |
|
4635 Southwest Fwy Ste 635, Houston, TX 77027-7112 | |
| (713) 850-0049 | |
| (713) 627-7302 |
| Full Name | Audra A Blythe |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 4635 Southwest Fwy Ste 635, Houston, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114393204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 99310 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Senior Psychological Care Dallas I Llc | 3375717044 | 72 |
| Entity Name | Senior Psychological Care Dallas I LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649566795 PECOS PAC ID: 3375717044 Enrollment ID: O20111114000885 |
| Mailing Address | Practice Location Address |
|---|---|
| Audra A Blythe, LPC 4635 Southwest Fwy Ste 635, Houston, TX 77027-7112 Ph: (713) 850-0049 | Audra A Blythe, LPC 4635 Southwest Fwy Ste 635, Houston, TX 77027-7112 Ph: (713) 850-0049 |
Dr. Dalia Mattis, ED D Counselor Medicare: Not Enrolled in Medicare Practice Location: 5450 Nw Central Dr Ste 109, Houston, TX 77092 Phone: 713-895-0062 Fax: 713-895-0062 |
Dauphine Lashawn Billingsley, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 6027 Quiet Village Ct, Houston, TX 77053 Phone: 281-835-0058 |
Alelia Watson, Counselor Medicare: May Accept Medicare Assignments Practice Location: 16219 Greenport Ln, Houston, TX 77084 Phone: 832-746-1578 |
Nakeisha Quian Washington, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 5315b Cypress Creek Pkwy Ste 366, Houston, TX 77069 Phone: 832-850-6422 Fax: 832-850-7852 |
Linda Carol Horton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4314 Yoakum Blvd, Houston, TX 77006 Phone: 713-850-0049 Fax: 713-627-7302 |
Jennifer Marie Marroquin, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8876 Gulf Fwy Ste 420, Houston, TX 77017 Phone: 713-527-8558 |
Teandra Vashon Gordon, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 California St, Houston, TX 77006 Phone: 832-548-5000 |