| Kelly Lynn Veracruz, LPC | |
| 
					213 S Duval St, Mathis, TX 78368-2613  | |
| (361) 547-4121 | |
| (361) 384-4254 | 
| Full Name | Kelly Lynn Veracruz | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 213 S Duval St, Mathis, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760266266 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 82428 (Texas) | Primary | 
| Entity Name | Community Action Corporation Of South Texas | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063529642 PECOS PAC ID: 9032003504 Enrollment ID: O20040615001126  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kelly Lynn Veracruz, LPC 204 E 1st St, Alice, TX 78332-4822 Ph: (361) 664-0145  | Kelly Lynn Veracruz, LPC 213 S Duval St, Mathis, TX 78368-2613 Ph: (361) 547-4121  | 
Ms. Christine Ann Laflamme, LCMHC, LCPC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 22552 Park Road 25, Mathis, TX 78368 Phone: 603-662-6265 Fax: 603-297-1972  | |
Mrs. Kristy Dawn Orr, M. ED, LPC Counselor Medicare: Medicare Enrolled Practice Location: 213 S Duval St, Mathis, TX 78368 Phone: 361-547-4121  | |
Ms. Gwenneth Taylor Morgan, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 E. San Patricio Ave, Mathis, TX 78368 Phone: 361-547-4121 Fax: 361-384-4254  |