| Cynthia Davis, | |
|
2600 S Shore Blvd Ste 332, League City, TX 77573-2943 | |
| (720) 551-4997 | |
| (720) 368-5018 |
| Full Name | Cynthia Davis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2600 S Shore Blvd Ste 332, League City, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588113179 | NPI | - | NPPES |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
| 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: O20230217000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Davis, 2600 S Shore Blvd Ste 332, League City, TX 77573-2943 Ph: (720) 551-4997 | Cynthia Davis, 2600 S Shore Blvd Ste 332, League City, TX 77573-2943 Ph: (720) 551-4997 |
Denise Rau, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 S Shore Blvd Ste 373, League City, TX 77573 Phone: 281-245-3389 | |
Scot R Macomber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W Main St Ste 101, League City, TX 77573 Phone: 281-299-5959 | |
Charlette Hart Vaughn, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 N Michigan Ave, League City, TX 77573 Phone: 832-895-9945 | |
Vickie Rabino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Enterprise Ave Ste 650, League City, TX 77573 Phone: 281-937-4133 | |
Crystal Pike, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2513 Robin Crossing Ln, League City, TX 77573 Phone: 281-713-0968 | |
Mrs. Tashonda Edwards, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1828 Wren Dr, League City, TX 77573 Phone: 409-739-2701 | |
Courtney Renee Trinidad, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4444 W Main St, League City, TX 77573 Phone: 409-763-2373 Fax: 409-978-2401 |