| Diane Slack, | |
|
4606 Fm 563 Rd, Liberty, TX 77575-9247 | |
| (512) 298-8167 | |
| Not Available |
| Full Name | Diane Slack |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 4606 Fm 563 Rd, Liberty, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457219065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 76170 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Slack, 3918 E Highway 90, Liberty, TX 77575-8854 Ph: () - | Diane Slack, 4606 Fm 563 Rd, Liberty, TX 77575-9247 Ph: (512) 298-8167 |
Ms. Ruby Smith, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Beaumont Ave, Liberty, TX 77575 Phone: 936-776-2979 | |
Michael Fortune, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Beaumont Ave # 1, Liberty, TX 77575 Phone: 936-253-1077 | |
Mrs. Jessica Marie Stanley, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Beaumont Ave, Ste. D-1, Liberty, TX 77575 Phone: 936-776-2979 Fax: 281-377-5870 | |
Mr. Adrian Akerson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 Panther Ln, Liberty, TX 77575 Phone: 936-334-3299 Fax: 936-334-3291 | |
Patricia Rollins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Beaumont Ave, Suite D1, Liberty, TX 77575 Phone: 855-862-3278 |