| Jaime Corona, LPC | |
|
4805 Green Oaks Dr, River Oaks, TX 76114-3004 | |
| (817) 624-1222 | |
| (817) 460-0286 |
| Full Name | Jaime Corona |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 4805 Green Oaks Dr, River Oaks, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083852354 | NPI | - | NPPES |
| 202545405 | Medicaid | TX | |
| 202545401 | Medicaid | TX | |
| 202545403 | Medicaid | TX | |
| 202545402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 63032 (Texas) | Primary |
| Entity Name | New Horizon Counseling Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578863601 PECOS PAC ID: 6901054717 Enrollment ID: O20120920000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime Corona, LPC Po Box 10117, River Oaks, TX 76114-0117 Ph: (817) 624-1222 | Jaime Corona, LPC 4805 Green Oaks Dr, River Oaks, TX 76114-3004 Ph: (817) 624-1222 |
Christopher Mcmullen, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Roberts Cut Off Rd, Ste A, River Oaks, TX 76114 Phone: 817-624-1222 Fax: 817-624-1213 | |
Mrs. Betsy Ann Paul, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Roberts Cut Off Rd, Suite A, River Oaks, TX 76114 Phone: 817-624-1222 Fax: 817-624-1213 | |
Mrs. Vivian Martinez, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4805 Green Oaks Dr, River Oaks, TX 76114 Phone: 817-624-1222 Fax: 817-624-1222 | |
Frank Cheek, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Roberts Cut Off Rd, Ste A, River Oaks, TX 76114 Phone: 817-624-1222 Fax: 817-624-1213 | |
Vernon Lewis, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Roberts Cut Off Rd, Ste A, River Oaks, TX 76114 Phone: 817-624-1222 Fax: 817-624-1213 | |
Mr. Jorge Martin Gama, LPC-INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Roberts Cut Off Rd Ste A, River Oaks, TX 76114 Phone: 817-624-1222 Fax: 817-624-1213 |