| Bonnie Rose Bury-blattman, LPC | |
|
2808 S Main St Ste I, Lindale, TX 75771-7854 | |
| (903) 565-9022 | |
| (214) 224-0731 |
| Full Name | Bonnie Rose Bury-blattman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2808 S Main St Ste I, Lindale, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669937041 | NPI | - | NPPES |
| 396545103 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 80342 (Texas) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11745 (Texas) | Secondary |
| Entity Name | Andrews Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821064742 PECOS PAC ID: 9739170770 Enrollment ID: O20040519001179 |
| Entity Name | Mt Enterprise Community Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649412354 PECOS PAC ID: 2860303922 Enrollment ID: O20110801000150 |
| Entity Name | Thrive Counseling And Life Coaching, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720744212 PECOS PAC ID: 2769833078 Enrollment ID: O20240111001846 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Rose Bury-blattman, LPC 10116 Sparks Dr, Tyler, TX 75704-3935 Ph: (903) 565-9022 | Bonnie Rose Bury-blattman, LPC 2808 S Main St Ste I, Lindale, TX 75771-7854 Ph: (903) 565-9022 |
Mrs. Georgia Ann Beard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 Bowers St, Lindale, TX 75771 Phone: 903-245-0349 | |
Angela Smithee, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1101 S Main St, Lindale, TX 75771 Phone: 903-560-8300 | |
Rebecca Elizabeth Lincoln, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 14665 Fm 849, Lindale, TX 75771 Phone: 512-589-9822 Fax: 903-593-9865 | |
Chamecca R Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 S Main St, Lindale, TX 75771 Phone: 903-201-7750 | |
Ms. Virginia Mason Wolfarth, MED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21910 Fm 16 W, Lindale, TX 75771 Phone: 903-882-6649 | |
Linda W. Mccune, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20580 Hillside Trl, Lindale, TX 75771 Phone: 972-824-2121 Fax: 214-256-3175 |