| Mrs Stace Devillier Farrow, LPC | |
|
945 E Ashwood Loop, Wasilla, AK 99654-1412 | |
| (830) 343-7025 | |
| (830) 990-7999 |
| Full Name | Mrs Stace Devillier Farrow |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 945 E Ashwood Loop, Wasilla, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356623979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 16739 (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 Stace Devillier Farrow, LPC 3021 S State Highway 16, Suite 104, Fredericksburg, TX 78624-9408 Ph: (830) 990-7999 | Mrs Stace Devillier Farrow, LPC 945 E Ashwood Loop, Wasilla, AK 99654-1412 Ph: (830) 343-7025 |
Elizabeth Tucker Knecht, MS, CD Counselor Medicare: Not Enrolled in Medicare Practice Location: 7010 E Bogard Rd, Wasilla, AK 99654 Phone: 907-373-4732 | |
Diana Lucero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7010 E Bogard Rd Bldg 1, Wasilla, AK 99654 Phone: 907-746-4748 Fax: 907-746-4750 | |
Mrs. Kaylea Ben-judah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5851 E Mayflower Ct, Wasilla, AK 99654 Phone: 907-376-4000 Fax: 907-373-1135 | |
Heidi Groshong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7010 E Bogard Rd, Wasilla, AK 99654 Phone: 907-746-4748 Fax: 907-746-4750 | |
Gypsy Gillum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 291 E Swanson Ave, Wasilla, AK 99654 Phone: 907-376-3275 | |
Kiela Cott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Willow St, Wasilla, AK 99654 Phone: 907-373-4357 | |
Ms. Sarah Ruth Welton, M.S.C.P. Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Main St, Suite B, Wasilla, AK 99654 Phone: 907-373-5585 Fax: 907-373-5596 |