| Carrie Lynn Leafblad, MA, LPC | |
| 2042 Pine Knot Dr, Heartland, TX 75126-8283 | |
| (214) 755-8490 | |
| Not Available | 
| Full Name | Carrie Lynn Leafblad | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 2042 Pine Knot Dr, Heartland, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417620444 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 80496 (Texas) | Primary | 
| 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 | 
| Entity Name | Grow Healthcare Group Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carrie Lynn Leafblad, MA, LPC 2042 Pine Knot Dr, Heartland, TX 75126-8283 Ph: (214) 755-8490 | Carrie Lynn Leafblad, MA, LPC 2042 Pine Knot Dr, Heartland, TX 75126-8283 Ph: (214) 755-8490 | 
| Octavious Monique Dangerfield,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3633 Pendleton Ct, Heartland, TX 75126 Phone: 214-815-5672 | |
| Henry Ogbeide,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 4005 Fairmont Ln, Heartland, TX 75126 Phone: 817-704-9869 |