| Brianna Palma Nicole Kraatz, MS, LCDC, LPC-S | |
|
9101 Lyndon B Johnson Fwy, Dallas, TX 75243-2057 | |
| (469) 709-8977 | |
| Not Available |
| Full Name | Brianna Palma Nicole Kraatz |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 9101 Lyndon B Johnson Fwy, Dallas, 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 |
|---|---|---|---|
| 1083299739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 75528 (Texas) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13435 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deep Eddy Psychotherapy Management, Llc | 2264886936 | 55 |
| Entity Name | Deep Eddy Psychotherapy Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457740862 PECOS PAC ID: 2264886936 Enrollment ID: O20230928002745 |
| Mailing Address | Practice Location Address |
|---|---|
| Brianna Palma Nicole Kraatz, MS, LCDC, LPC-S O 4144 N Central Expy Ste 850, Dallas, TX 75204 Ph: (469) 709-8977 | Brianna Palma Nicole Kraatz, MS, LCDC, LPC-S 9101 Lyndon B Johnson Fwy, Dallas, TX 75243-2057 Ph: (469) 709-8977 |
Keisha L. Butler, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Central Expy, Suite 400-8, Dallas, TX 75201 Phone: 214-298-7647 Fax: 469-227-4251 | |
Mrs. Ashley Nicole Dye, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4600 Samuell Blvd, Dallas, TX 75228 Phone: 214-381-7181 | |
Ms. Ana Cecilia Gutierrez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6220 Gaston Ave, Suite 501, Dallas, TX 75214 Phone: 972-904-7935 Fax: 972-838-1446 | |
Dr. Cathey Soutter, PHD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17300 Preston Rd, Dallas, TX 75252 Phone: 972-733-6565 | |
Antonio Gonzales, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8625 King George Dr, Suite 111, Dallas, TX 75235 Phone: 214-631-7002 Fax: 214-631-6698 | |
William Keith Palmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5701 Maple Ave, Ste. 100, Dallas, TX 75235 Phone: 214-351-6600 Fax: 214-351-5046 | |
Karina Shroff, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8625 King George Dr, Suite 111, Dallas, TX 75235 Phone: 214-631-7002 Fax: 214-631-6698 |