| Ms Lisa M Domengeaux, MED | |
|
25511 Budde Rd Ste 1002, Spring, TX 77380-2089 | |
| (281) 719-5539 | |
| (281) 715-4742 |
| Full Name | Ms Lisa M Domengeaux |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 25511 Budde Rd Ste 1002, Spring, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730663873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 79369 (Texas) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisa M Domengeaux, MED 162 Rushwing Pl, The Woodlands, TX 77381-4319 Ph: (281) 719-5539 | Ms Lisa M Domengeaux, MED 25511 Budde Rd Ste 1002, Spring, TX 77380-2089 Ph: (281) 719-5539 |
Mrs. Lyndsay Nicole Baxley, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2602 Lexington Woods Dr, Spring, TX 77373 Phone: 713-447-9114 | |
Robin Mehdi Vassef, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 Rayford Rd, Spring, TX 77386 Phone: 832-832-2640 | |
Lady Joana Narvaez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 Noble St, Spring, TX 77373 Phone: 832-422-0383 | |
Rhett G Edwards, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8900 Eastloch Dr Ste 225g, Spring, TX 77379 Phone: 281-826-9232 | |
Helen Julie Jackson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 Magic Oaks Dr, Spring, TX 77388 Phone: 626-277-2584 | |
Dr. Annie L Jones, PHD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26205 Oak Ridge Dr., Suite 106, Spring, TX 77380 Phone: 936-292-9503 Fax: 281-466-8605 | |
Jennifer L Metzler, LPC, LMFT-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 3806 Brea Ct, Spring, TX 77386 Phone: 832-277-4952 |