| Ms Melissa Sutherland, MED, LPC | |
|
2118 N Main Ave Ste 101, San Antonio, TX 78212-5851 | |
| (210) 736-2700 | |
| (210) 736-2708 |
| Full Name | Ms Melissa Sutherland |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2118 N Main Ave Ste 101, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326163924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 13572 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 13572 (Texas) | Secondary |
| 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 |
| Entity Name | Lifebulb Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699491464 PECOS PAC ID: 2062881162 Enrollment ID: O20240221003239 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Melissa Sutherland, MED, LPC 2118 N Main Ave Ste 101, San Antonio, TX 78212-5851 Ph: (210) 736-2700 | Ms Melissa Sutherland, MED, LPC 2118 N Main Ave Ste 101, San Antonio, TX 78212-5851 Ph: (210) 736-2700 |
Paul Cassidy, Counselor Medicare: Medicare Enrolled Practice Location: 7272 Wurzbach Rd Ste 601, San Antonio, TX 78240 Phone: 210-615-3483 | |
Andrea M Garcia, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-731-1300 Fax: 210-738-8025 | |
Mrs. Cassandra Iris Limon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr Ste 7250, San Antonio, TX 78229 Phone: 210-734-9352 | |
Terri Kurpgeweit, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 Blanco Rd, 501, San Antonio, TX 78216 Phone: 210-764-3570 | |
Elizabeth Marie Villarreal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 San Pedro Ave, San Antonio, TX 78212 Phone: 210-558-8744 | |
Laura L Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-731-1300 Fax: 210-731-8678 | |
Kelly D Mitchell, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 W Ih 10, San Antonio, TX 78201 Phone: 210-261-1024 Fax: 210-738-8025 |