| Brandi Russell, LPC | |
|
2870 N Main St, Paris, TX 75460-9357 | |
| (903) 737-2475 | |
| (903) 737-2479 |
| Full Name | Brandi Russell |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 16 Years |
| Location | 2870 N Main St, Paris, 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 |
|---|---|---|---|
| 1669917944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 73563 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakes Regional Mental Health Mental Retardation Center | 9739175225 | 18 |
| Entity Name | Lakes Regional Mental Health Mental Retardation Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881752715 PECOS PAC ID: 9739175225 Enrollment ID: O20040421000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandi Russell, LPC Po Box 747, Terrell, TX 75160-0014 Ph: (903) 737-2475 | Brandi Russell, LPC 2870 N Main St, Paris, TX 75460-9357 Ph: (903) 737-2475 |
Mrs. Melissa Anne Ladd, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 4545 Thomas Dr, Paris, TX 75462 Phone: 903-517-3928 | |
Jill Conway, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2620 Lamar Ave Ste 100, Paris, TX 75460 Phone: 903-401-9766 Fax: 903-705-6066 | |
Mrs. Tiffany Blassingame, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 737 Lamar Ave, Paris, TX 75460 Phone: 903-785-0400 Fax: 903-785-0403 | |
Kathy Roden Floyd, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3605 Ne Loop 286 Ste 300, Paris, TX 75460 Phone: 903-785-7410 Fax: 903-785-7758 | |
Andrea Perry, PH.D, LPC, NCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2620 Lamar Ave Ste 116, Paris, TX 75460 Phone: 903-732-7887 | |
David Coats, LPC, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 737 Lamar Ave, Paris, TX 75460 Phone: 903-785-0400 Fax: 903-785-0403 | |
Marcie Julian Temple, MS; LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 737 Lamar Ave, Paris, TX 75460 Phone: 903-785-0400 Fax: 903-785-0403 |