| Mr Joseph Blackburn Smith, LPC | |
|
408 Mulberry St, Brownwood, TX 76801-1639 | |
| (325) 646-9574 | |
| (325) 646-0948 |
| Full Name | Mr Joseph Blackburn Smith |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 408 Mulberry St, Brownwood, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033494885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 64151 (Texas) | Primary |
| Entity Name | Central Texas Mental Health And Mental Retardation Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619196169 PECOS PAC ID: 5193613446 Enrollment ID: O20040311001487 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joseph Blackburn Smith, LPC 408 Mulberry St, Brownwood, TX 76801-1639 Ph: (325) 646-9574 | Mr Joseph Blackburn Smith, LPC 408 Mulberry St, Brownwood, TX 76801-1639 Ph: (325) 646-9574 |
Debra Dusek, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20051 Highway 279, Brownwood, TX 76801 Phone: 214-335-1006 | |
Mr. Ronnie Milam Parker, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Highway 377 S, Suite 115, Brownwood, TX 76801 Phone: 325-643-3143 Fax: 325-641-0059 | |
Elizabeth Romig Hatlestad, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 Oakpark Dr, Brownwood, TX 76801 Phone: 512-925-2039 | |
Dianna Cherie Rowland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3810 Country Side Dr, Brownwood, TX 76801 Phone: 325-642-2453 | |
Mr. Derek Royce Jesko, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Crockett Dr., Brownwood, TX 76801 Phone: 325-646-0704 Fax: 888-895-1214 | |
Lauren Kirk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9000 County Road 149, Brownwood, TX 76801 Phone: 972-754-7799 |