| Mr Nicholas C Bennie, LPC | |
|
2323 W Front St, Tyler, TX 75702-7747 | |
| (903) 535-7355 | |
| (903) 535-7384 |
| Full Name | Mr Nicholas C Bennie |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 2323 W Front St, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871162131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 81929 (Texas) | Primary |
| Entity Name | Andrews Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821064742 PECOS PAC ID: 9739170770 Enrollment ID: O20040519001179 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nicholas C Bennie, LPC 2323 W Front St, Tyler, TX 75702-7747 Ph: (903) 535-7355 | Mr Nicholas C Bennie, LPC 2323 W Front St, Tyler, TX 75702-7747 Ph: (903) 535-7355 |
Mr. Laramie C Selman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4101 University Blvd, Tyler, TX 75701 Phone: 903-363-7704 | |
Mrs. Jill Marie Kirkley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3800 Paluxy Dr, Ste 240, Tyler, TX 75703 Phone: 903-630-0422 | |
Mrs. Joy Louise Bevoni, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14023 State Highway 155 S, Tyler, TX 75703 Phone: 903-534-0414 | |
Mr. David Comins Wheeler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5875 Grace Ave, Tyler, TX 75707 Phone: 903-316-5106 | |
Desiree Laurel Glaze, LPC S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Rickety Ln Ste E, Tyler, TX 75703 Phone: 903-330-0601 | |
Lakeisha Roquemore, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1411 S Bennett Ave, Tyler, TX 75701 Phone: 903-535-7314 | |
Isaac Rodgerson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6724 Paluxy Dr Ste 400, Tyler, TX 75703 Phone: 903-630-4310 |