| Joni Mondy, | |
|
124 Quail Run Dr, Seagoville, TX 75159-2532 | |
| (469) 733-6057 | |
| Not Available |
| Full Name | Joni Mondy |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 124 Quail Run Dr, Seagoville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619628211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 82748 (Texas) | Primary |
| Entity Name | Lakes Regional Mental Health Mental Retardation Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881752715 PECOS PAC ID: 9739175225 Enrollment ID: O20040421000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Joni Mondy, 124 Quail Run Dr, Seagoville, TX 75159-2532 Ph: (469) 733-6057 | Joni Mondy, 124 Quail Run Dr, Seagoville, TX 75159-2532 Ph: (469) 733-6057 |
Mrs. Portia Harvey, LPC Counselor Medicare: Medicare Enrolled Practice Location: 512 Payton Ct, Seagoville, TX 75159 Phone: 214-244-6936 | |
Tiffany Monroe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3011 Graystone Ct, Seagoville, TX 75159 Phone: 903-445-0667 | |
Tabitha Michelle Rupard, LPC Counselor Medicare: Medicare Enrolled Practice Location: 607 Aqueduct Dr, Seagoville, TX 75159 Phone: 972-369-6851 | |
Mrs. Debra M Gulledge, MA LPC DCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 W Malloy Bridge Rd., Seagoville, TX 75159 Phone: 214-805-4543 Fax: 214-321-5496 |