Desiree Laurel Glaze, LPC S - Counselor in Tyler, TX

Desiree Laurel Glaze, LPC S is a Counselor - Mental Health based in Tyler, Texas. Desiree Laurel Glaze is licensed to practice in Texas (license number 69162) and her current practice location is 2003 Rickety Ln Ste E, Tyler, Texas. She can be reached at her office (for appointments etc.) via phone at (903) 330-0601.

NPI number for Desiree Laurel Glaze is 1033875950 and her current mailing address is 2003 Rickety Ln Ste E, Tyler, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033875950.

Contact Information

Desiree Laurel Glaze, LPC S
2003 Rickety Ln Ste E,
Tyler, TX 75703-1704
(903) 330-0601
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDesiree Laurel Glaze
GenderFemale
SpecialityCounselor - Mental Health
Location2003 Rickety Ln Ste E, Tyler, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033875950
  • Provider Enumeration Date: 11/15/2021
  • Last Update Date: 11/15/2021

Medical Identifiers

Medical identifiers for Desiree Laurel Glaze such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033875950NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 69162 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Desiree Laurel Glaze is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Desiree Laurel Glaze, LPC S
2003 Rickety Ln Ste E,
Tyler, TX 75703-1704

Ph: (903) 330-0601
Desiree Laurel Glaze, LPC S
2003 Rickety Ln Ste E,
Tyler, TX 75703-1704

Ph: (903) 330-0601

Reviews and Comments


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