| Deidra Fuller, | |
|
2711 Delano Ave, Midland, TX 79701-3102 | |
| (432) 816-2680 | |
| Not Available |
| Full Name | Deidra Fuller |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 22 Years |
| Location | 2711 Delano Ave, Midland, 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 |
|---|---|---|---|
| 1558946319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 60840 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thrive Counseling Llc | 0749458420 | 1187 |
| Entity Name | Thrive Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210706003672 |
| Mailing Address | Practice Location Address |
|---|---|
| Deidra Fuller, 2711 Delano Ave, Midland, TX 79701-3102 Ph: (432) 816-2680 | Deidra Fuller, 2711 Delano Ave, Midland, TX 79701-3102 Ph: (432) 816-2680 |
Mr. Paul James Brazinskas, LCDC, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 E Illinois Ave, Midland, TX 79701 Phone: 432-686-2793 Fax: 432-570-3425 |
Mr. Rios Waddleton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 W Golf Course Rd, Midland, TX 79701 Phone: 432-528-8595 |
Dr. Charmaine Caldwell, PHD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10008 Pilot Ave, Midland, TX 79706 Phone: 432-563-4144 Fax: 432-561-8611 |
Kandis R Snowden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 W Texas Ave Ste 611, Midland, TX 79701 Phone: 432-603-1790 |
Heather F Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 W Wadley Ave Ste 210b, Midland, TX 79705 Phone: 806-860-3501 |
Prof. Brian B Edwards, LPC/LCDC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3000 N Garfield St, Suite 215, Midland, TX 79705 Phone: 432-694-8509 Fax: 432-682-1442 |
Chad David Bright, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 N Carver St, Midland, TX 79701 Phone: 432-570-3390 Fax: 432-570-3375 |