| Ms Tyler Alexius Lange, LPC-S | |
|
6500 Rookin St Ste 200, Houston, TX 77074-5019 | |
| (713) 351-7350 | |
| Not Available |
| Full Name | Ms Tyler Alexius Lange |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 6500 Rookin St Ste 200, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255836169 | NPI | - | NPPES |
| 009352933 | Other | LA | HUMANA |
| 009352933 | Medicaid | LA | |
| 48638672 | Other | BCBS | |
| 48638672 | Medicaid | TX | |
| 009352933 | Other | LA | AETNA |
| 009352933 | Other | LA | BLUE CROSS BLUE SHIELD |
| 009352933 | Other | LA | CIGNA |
| Entity Name | Legacy Community Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679524961 PECOS PAC ID: 7911969092 Enrollment ID: O20110706000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tyler Alexius Lange, LPC-S 100 W Texas Ave Apt 613, Webster, TX 77598-3263 Ph: (985) 285-6096 | Ms Tyler Alexius Lange, LPC-S 6500 Rookin St Ste 200, Houston, TX 77074-5019 Ph: (713) 351-7350 |
Dr. Dalia Mattis, ED D Counselor Medicare: Not Enrolled in Medicare Practice Location: 5450 Nw Central Dr Ste 109, Houston, TX 77092 Phone: 713-895-0062 Fax: 713-895-0062 | |
Dauphine Lashawn Billingsley, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 6027 Quiet Village Ct, Houston, TX 77053 Phone: 281-835-0058 | |
Nakeisha Quian Washington, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 5315b Cypress Creek Pkwy Ste 366, Houston, TX 77069 Phone: 832-850-6422 Fax: 832-850-7852 | |
Linda Carol Horton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4314 Yoakum Blvd, Houston, TX 77006 Phone: 713-850-0049 Fax: 713-627-7302 | |
Jennifer Marie Marroquin, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8876 Gulf Fwy Ste 420, Houston, TX 77017 Phone: 713-527-8558 | |
Ms. Michele Jones Dial, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 W 22nd St Ste 100, Houston, TX 77008 Phone: 713-380-1151 | |
Mrs. Teresa Porath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7011 Southwest Fwy, Houston, TX 77074 Phone: 713-970-7000 Fax: 713-970-7246 |