| Mr Derek Stanley Durst, LPC | |
|
1224 Hawk Feather Trl, Leander, TX 78641-3969 | |
| (512) 596-8296 | |
| Not Available |
| Full Name | Mr Derek Stanley Durst |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1224 Hawk Feather Trl, Leander, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043867948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 78422 (Texas) | Primary |
| Entity Name | Brightside Medical Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230419000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derek Stanley Durst, LPC 1224 Hawk Feather Trl, Leander, TX 78641-3969 Ph: (512) 596-8296 | Mr Derek Stanley Durst, LPC 1224 Hawk Feather Trl, Leander, TX 78641-3969 Ph: (512) 596-8296 |
Lisa Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Honey Locust Cv, Leander, TX 78641 Phone: 512-784-8529 | |
Linda L Collier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 S Highway 183 Ste B, Leander, TX 78641 Phone: 512-260-0723 Fax: 512-260-7165 | |
Alesia Gonzalez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10824 E Crystal Falls Pkwy Ste 401, Leander, TX 78641 Phone: 512-522-4756 | |
Ashley Woodford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2006 S Bagdad Rd Ste 160, Leander, TX 78641 Phone: 936-307-8045 | |
William James Mchenry, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 536 Buttermilk Ln, Leander, TX 78641 Phone: 903-824-4208 | |
Sarah Jane Devins, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Walkup Ln, Leander, TX 78641 Phone: 781-686-4345 |