| Leslye Vaughan, LPC | |
|
4200 Stuart St, Greenville, TX 75401-5759 | |
| (903) 455-3987 | |
| (903) 455-0834 |
| Full Name | Leslye Vaughan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4200 Stuart St, Greenville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376008391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 74508 (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 |
|---|---|
| Leslye Vaughan, LPC Po Box 747, Terrell, TX 75160-0014 Ph: (972) 524-4159 | Leslye Vaughan, LPC 4200 Stuart St, Greenville, TX 75401-5759 Ph: (903) 455-3987 |
Mrs. Alexis Michelle Foote, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 2200 Traders Rd Ste 501, Greenville, TX 75402 Phone: 903-231-3151 Fax: 903-418-3785 | |
Shirley Allen, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5604 Wesley St Ste 103, Greenville, TX 75402 Phone: 903-274-4140 | |
Nathaniel David Brinlee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 I 30 Ste 100, Greenville, TX 75402 Phone: 903-274-4140 | |
Stacy A Shock, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 4115 Joe Ramsey Blvd E Apt 258, Greenville, TX 75401 Phone: 903-274-6532 | |
Genevieve M Curtis, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 2824 Terrell Rd Ste 402, Greenville, TX 75402 Phone: 903-455-1073 | |
Shelley Hall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3101 Joe Ramsey Blvd E Ste 103a, Greenville, TX 75401 Phone: 903-494-5771 Fax: 903-494-5772 | |
Liesl Mcquillan, LPC, LSOTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4486 Fm 2101, Greenville, TX 75402 Phone: 214-315-3656 |