| Brandon Michael Roberts, MED, NCC, LPC | |
|
1219 Dallas St, Port Neches, TX 77651-2908 | |
| (409) 234-5777 | |
| (877) 250-4835 |
| Full Name | Brandon Michael Roberts |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1219 Dallas St, Port Neches, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003386988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 77674 (Texas) | Primary |
| Entity Name | Deer Oaks Geriatric Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134169287 PECOS PAC ID: 9234034075 Enrollment ID: O20031204000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Michael Roberts, MED, NCC, LPC 1219 Dallas St, Port Neches, TX 77651-2908 Ph: (409) 234-5777 | Brandon Michael Roberts, MED, NCC, LPC 1219 Dallas St, Port Neches, TX 77651-2908 Ph: (409) 234-5777 |
Deann Marie Wills, LPC, LCDC Counselor Medicare: Medicare Enrolled Practice Location: 2054 Nall St, Port Neches, TX 77651 Phone: 406-540-2055 | |
Sharon Lackey, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2420 Port Neches Ave Ofc A, Port Neches, TX 77651 Phone: 409-853-4699 Fax: 866-883-6818 | |
Lisa L Shoemaker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 890 Sierra Dr, Port Neches, TX 77651 Phone: 409-720-7360 | |
Ashley Nicole Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3161 Fellswood Ln, Port Neches, TX 77651 Phone: 409-549-2055 Fax: 409-344-9046 | |
Laurie Howell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 890 Sierra Dr, Port Neches, TX 77651 Phone: 409-540-2055 | |
Amanda Chism, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1219 Dallas St, Port Neches, TX 77651 Phone: 409-234-5776 |