| Mrs Mandy Jean Reyna, LPC-ASSOCIATE | |
|
1216 Duncan Rd., Copperas Cove, TX 76522-7409 | |
| (254) 577-4880 | |
| (254) 518-5300 |
| Full Name | Mrs Mandy Jean Reyna |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1216 Duncan Rd., Copperas Cove, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053044826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 88958 (Texas) | Primary |
| Entity Name | Angels on the Horizon Therapeutic Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780067090 PECOS PAC ID: 9335403088 Enrollment ID: O20180503001615 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mandy Jean Reyna, LPC-ASSOCIATE 1216 Duncan Rd., Copperas Cove, TX 76522-7409 Ph: (254) 577-4880 | Mrs Mandy Jean Reyna, LPC-ASSOCIATE 1216 Duncan Rd., Copperas Cove, TX 76522-7409 Ph: (254) 577-4880 |
James Willie Harrison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2710 Joseph Dr, Copperas Cove, TX 76522 Phone: 254-702-9298 |
Mrs. Linda L. Townsend, RN MS LPC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 806 E Avenue D, Ste F, Copperas Cove, TX 76522 Phone: 254-547-6415 Fax: 254-547-2030 |
Trendolyn Desha Davis, MA,LPC Counselor Medicare: Medicare Enrolled Practice Location: 1216 Duncan Rd, Copperas Cove, TX 76522 Phone: 254-577-4880 Fax: 254-518-5300 |
Ms. Margaret M Creasy, LPC, LMFT, LSOTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 S 2nd St, Copperas Cove, TX 76522 Phone: 254-547-8280 Fax: 254-547-3064 |
Erica Lugene Boucher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4111 Table Rock Rd, Copperas Cove, TX 76522 Phone: 254-987-5080 |
Kaniya Girard, LPC-ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1914 Castroville Trl Unit A, Copperas Cove, TX 76522 Phone: 254-459-7029 |
Denise Garza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2745 Settlement Rd, Copperas Cove, TX 76522 Phone: 254-401-0878 |