| Mason Trae Sweatt, MA LPC | |
|
307 W Pearl St, Granbury, TX 76048-2408 | |
| (682) 529-7613 | |
| Not Available |
| Full Name | Mason Trae Sweatt |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 307 W Pearl St, 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 |
|---|---|---|---|
| 1093223307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 72078 (Texas) | Secondary |
| 101YM0800X | Counselor - Mental Health | 72078 (Texas) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
| Entity Name | Brightside Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
| Mailing Address | Practice Location Address |
|---|---|
| Mason Trae Sweatt, MA LPC Po Box 5062, Granbury, TX 76049-0062 Ph: () - | Mason Trae Sweatt, MA LPC 307 W Pearl St, Granbury, TX 76048-2408 Ph: (682) 529-7613 |
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 |