| Mrs Jesse Amanda Dellis, LPC | |
|
1906 Peach St, Goldthwaite, TX 76844-2452 | |
| (325) 276-0506 | |
| Not Available |
| Full Name | Mrs Jesse Amanda Dellis |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1906 Peach St, Goldthwaite, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356722912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 70748 (Texas) | Secondary |
| 101Y00000X | Counselor | 70748 (Texas) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jesse Amanda Dellis, LPC 1906 Peach St, Goldthwaite, TX 76844-2452 Ph: (325) 276-0506 | Mrs Jesse Amanda Dellis, LPC 1906 Peach St, Goldthwaite, TX 76844-2452 Ph: (325) 276-0506 |
Mr. Artie Lee Hilliard Jr., LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1008 4th St, Goldthwaite, TX 76844 Phone: 325-648-3131 Fax: 325-648-3931 | |
Kristi Leverett, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 850 Hwy 574 West, Goldthwaite, TX 76844 Phone: 325-938-5518 Fax: 512-310-9991 | |
Angela Nishiyama, Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Fm 574 W, Goldthwaite, TX 76844 Phone: 325-938-5518 | |
Deedra Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Hwy 574 West, Goldthwaite, TX 76844 Phone: 325-938-5518 Fax: 325-938-5532 |