Mae-lin Y Mendoza, LPC | |
2150 Lakeside Blvd, Suite 100, Richardson, TX 75082-4302 | |
(972) 437-4698 | |
(972) 690-9309 |
Full Name | Mae-lin Y Mendoza |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2150 Lakeside Blvd, Richardson, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750632576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 69419 (Texas) | Primary |
Entity Name | Charlie Blue Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255106340 PECOS PAC ID: 4385082965 Enrollment ID: O20240402000773 |
Mailing Address | Practice Location Address |
---|---|
Mae-lin Y Mendoza, LPC 2150 Lakeside Blvd, Suite 100, Richardson, TX 75082-4302 Ph: (972) 437-4698 | Mae-lin Y Mendoza, LPC 2150 Lakeside Blvd, Suite 100, Richardson, TX 75082-4302 Ph: (972) 437-4698 |
Star Lynn Genera, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1719 Analog Dr, Richardson, TX 75081 Phone: 214-812-9802 Fax: 512-900-8325 | |
Mrs. Kelley Mccoy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 N Central Expy Ste 375, Richardson, TX 75080 Phone: 214-733-9877 | |
Siduk Arroyo-boulter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1221 Abrams Rd Ste 325, Richardson, TX 75081 Phone: 469-619-7622 | |
Frances Carolyn Adkins, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 High Brook Dr, Richardson, TX 75080 Phone: 972-238-7507 Fax: 972-238-8215 | |
Ms. Janice M Bryan, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 E Campbell Rd, Ste 510, Richardson, TX 75081 Phone: 214-544-2476 | |
Jeri Slayton-marshall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2099 N Collins Blvd, Suite 100, Richardson, TX 75080 Phone: 972-437-4698 Fax: 972-671-2087 | |
Ms. Katrina G Lane, MS, LPC, LMFT, LSSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 Lockwood Dr, Richardson, TX 75080 Phone: 972-437-4222 Fax: 214-295-6512 |