| Mr Gary Allen Johnson, LPC | |
|
3304 Terrace Ave, Midland, TX 79707-5819 | |
| (432) 940-1011 | |
| Not Available |
| Full Name | Mr Gary Allen Johnson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 3304 Terrace Ave, Midland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942490222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 13176 (Texas) | Primary |
| Entity Name | Bluebonnet Trails Community Mhmr Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730135864 PECOS PAC ID: 5799775409 Enrollment ID: O20040514000751 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gary Allen Johnson, LPC 1009 Duvall Dr, Killeen, TX 76541-8026 Ph: (325) 227-2871 | Mr Gary Allen Johnson, LPC 3304 Terrace Ave, Midland, TX 79707-5819 Ph: (432) 940-1011 |
Mr. Paul James Brazinskas, LCDC, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 E Illinois Ave, Midland, TX 79701 Phone: 432-686-2793 Fax: 432-570-3425 | |
Mr. Rios Waddleton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 W Golf Course Rd, Midland, TX 79701 Phone: 432-528-8595 | |
Dr. Charmaine Caldwell, PHD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10008 Pilot Ave, Midland, TX 79706 Phone: 432-563-4144 Fax: 432-561-8611 | |
Prof. Brian B Edwards, LPC/LCDC Counselor Medicare: Medicare Enrolled Practice Location: 3000 N Garfield St, Suite 215, Midland, TX 79705 Phone: 432-694-8509 Fax: 432-682-1442 | |
Chad David Bright, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 N Carver St, Midland, TX 79701 Phone: 432-570-3390 Fax: 432-570-3375 | |
Mrs. Joanne B Hoyl, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4214 Andrews Hwy Ste 307, Midland, TX 79703 Phone: 432-522-1955 Fax: 432-522-1882 | |
Lewis Busbee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5209 Anetta Dr, Midland, TX 79703 Phone: 432-770-2432 |