| Michael Bohannan, LPC | |
|
1000 Brook Ave, Wichita Falls, TX 76301-5007 | |
| (940) 397-3141 | |
| (940) 397-3150 |
| Full Name | Michael Bohannan |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1000 Brook Ave, Wichita Falls, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124323720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 60592 (Texas) | Secondary |
| 101YP2500X | Counselor - Professional | 60592 (Texas) | Primary |
| Entity Name | My Health My Resources Of Tarrant County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952423782 PECOS PAC ID: 6406755693 Enrollment ID: O20040107000397 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Bohannan, LPC 1000 Brook Ave, Wichita Falls, TX 76301-5007 Ph: (940) 397-3141 | Michael Bohannan, LPC 1000 Brook Ave, Wichita Falls, TX 76301-5007 Ph: (940) 397-3141 |
Ms. Karen Diane Jordan, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4245 Kemp Blvd, Suite 710, Wichita Falls, TX 76308 Phone: 940-692-9745 Fax: 940-692-9722 | |
Catherine Quinn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5302 Langford Ln, Wichita Falls, TX 76310 Phone: 940-232-6367 | |
Lauren Nichols, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4815 Fairway Blvd, Wichita Falls, TX 76310 Phone: 940-257-2595 | |
Kirk Findley, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1000 Brook Ave, Wichita Falls, TX 76301 Phone: 940-397-3140 Fax: 940-397-3150 | |
Grace Ayandibu, M.D, M.S, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2637 Plaza Pkwy, Wichita Falls, TX 76308 Phone: 940-239-9160 | |
Sheri Urbanczyk, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Brook Ave, Wichita Falls, TX 76301 Phone: 940-397-3140 Fax: 940-397-3150 | |
Mr. William T East, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Brook Ave, Wichita Falls, TX 76301 Phone: 940-397-3140 Fax: 940-397-3150 |