| Ms Sandra Lee West, LPC, MS, LCDC, CSAC | |
|
4700 Cromwell Dr Apt 7207, Kyle, TX 78640-3830 | |
| (808) 557-5957 | |
| Not Available |
| Full Name | Ms Sandra Lee West |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4700 Cromwell Dr Apt 7207, Kyle, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689480964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 89293 (Texas) | Primary |
| Entity Name | Specialty Clinic Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629409909 PECOS PAC ID: 4082017512 Enrollment ID: O20210721003537 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sandra Lee West, LPC, MS, LCDC, CSAC 4700 Cromwell Dr Apt 7207, Kyle, TX 78640-3830 Ph: (808) 557-5957 | Ms Sandra Lee West, LPC, MS, LCDC, CSAC 4700 Cromwell Dr Apt 7207, Kyle, TX 78640-3830 Ph: (808) 557-5957 |
Kimberly Harrington-delgado, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 W Center St, Suite E, Kyle, TX 78640 Phone: 512-393-9195 | |
Robert D Byers, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 New Bridge Dr, Kyle, TX 78640 Phone: 512-848-2275 | |
Tammy Fisher, LPC-I, LMFT-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Bailey Loop, Kyle, TX 78640 Phone: 512-940-5566 | |
Kristen Tomczyszyn, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 W Center St, Kyle, TX 78640 Phone: 512-787-5575 | |
Tyler Marguerite Ricks, M.S., LPC-ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 Conestoga Dr, Kyle, TX 78640 Phone: 470-702-5444 | |
Jackie J Engelhardt, MS, LMFT-A, LPC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 187 Elmhurst, Suite A, Kyle, TX 78640 Phone: 512-318-2661 | |
Rolanda C Bowman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 W Center St, Ste. D, Kyle, TX 78640 Phone: 512-202-0102 |