| Lacy Caruthers, LPC-ASSOCIATE | |
|
1540 Southtown Dr Ste 106, Granbury, TX 76048-2667 | |
| (855) 579-5323 | |
| (855) 579-5323 |
| Full Name | Lacy Caruthers |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1540 Southtown Dr Ste 106, Granbury, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255048898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 89660 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 89660 (Texas) | Primary |
| Entity Name | Deer Oaks Geriatric Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134169287 PECOS PAC ID: 9234034075 Enrollment ID: O20031204000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacy Caruthers, LPC-ASSOCIATE Po Box 121835, Arlington, TX 76012-7835 Ph: (855) 579-5323 | Lacy Caruthers, LPC-ASSOCIATE 1540 Southtown Dr Ste 106, Granbury, TX 76048-2667 Ph: (855) 579-5323 |
Megan Ann Landress, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2930 Meandering Way, Granbury, TX 76049 Phone: 682-364-7057 | |
Rebecca Jones, LCDC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 2111 W Highway 377, Granbury, TX 76048 Phone: 817-573-6002 Fax: 817-573-6009 | |
Gary R Hively, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2111 W Hwy 377, Granbury, TX 76048 Phone: 817-573-6002 Fax: 817-573-6009 | |
Mrs. Mollie M Van Deusen, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4425 E Hyw 377, Suite 116, Granbury, TX 76049 Phone: 940-902-2632 | |
Joshua David Morrison, LCDC, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 823 Wandering Ct, Granbury, TX 76049 Phone: 817-964-2527 | |
Chancey Marie Ruiz, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2111 W Us Highway 377, Granbury, TX 76048 Phone: 817-573-6002 Fax: 817-573-6009 | |
Mason Trae Sweatt, MA LPC Counselor Medicare: Medicare Enrolled Practice Location: 307 W Pearl St, Granbury, TX 76048 Phone: 682-529-7613 |