| Courtney Brewer, | |
|
305 W Woodard St # 209, Denison, TX 75020-3136 | |
| (903) 265-8545 | |
| Not Available |
| Full Name | Courtney Brewer |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 305 W Woodard St # 209, Denison, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851886899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 76790 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 76790 (Texas) | Primary |
| Entity Name | Tidemark Therapy Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275939001 PECOS PAC ID: 7416283775 Enrollment ID: O20190724000985 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Brewer, 305 W Woodard St # 209, Denison, TX 75020-3136 Ph: (903) 265-8545 | Courtney Brewer, 305 W Woodard St # 209, Denison, TX 75020-3136 Ph: (903) 265-8545 |
Brittainy A Wagner, LPC Counselor Medicare: Medicare Enrolled Practice Location: 305 W Woodard St # 209, Denison, TX 75020 Phone: 903-265-8545 | |
Suzanne Rose Draper, LPC Counselor Medicare: Medicare Enrolled Practice Location: 416 E Main St, Denison, TX 75021 Phone: 903-465-6344 Fax: 903-465-5943 | |
Geni A Hutchings, LPC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 N Fannin Ave, Denison, TX 75020 Phone: 903-624-3960 | |
Ashley Hinson, MMFT, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 Haven Cir, Denison, TX 75020 Phone: 512-659-0011 | |
Mr. Lloyd Arthur Bergman Ii, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9670 Dripping Springs Rd, Denison, TX 75021 Phone: 903-463-1193 | |
Ms. Ruth Esmeralda Bradley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Memorial Dr Ste 103, Denison, TX 75020 Phone: 903-462-4600 | |
Mr. Terrence R Madsen, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 1105 Memorial Dr, Suite 202, Denison, TX 75020 Phone: 903-337-0343 Fax: 903-337-0526 |