| Nicole Bashan Lewis, | |
|
221 3rd St W Bldg 1040, Universal City, TX 78150-4800 | |
| (210) 652-3505 | |
| Not Available |
| Full Name | Nicole Bashan Lewis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 221 3rd St W Bldg 1040, Universal City, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053847251 | NPI | - | NPPES |
| Entity Name | Center for Life Enrichment Advancement and Recovery LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548856842 PECOS PAC ID: 5890195713 Enrollment ID: O20241022002254 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Bashan Lewis, 613 Wildcat Run, Cibolo, TX 78108-3495 Ph: (219) 789-3223 | Nicole Bashan Lewis, 221 3rd St W Bldg 1040, Universal City, TX 78150-4800 Ph: (210) 652-3505 |
Marina Jimenez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Kitty Hawk Rd Ste 219, Universal City, TX 78148 Phone: 210-566-1280 Fax: 210-579-8533 |
Victoria Nunez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10715 Apple Spgs, Universal City, TX 78148 Phone: 210-416-3508 |
Valerie L Mendoza, LPC Counselor Medicare: Medicare Enrolled Practice Location: 433 Kitty Hawk Rd Ste 219, Universal City, TX 78148 Phone: 210-846-1343 |
Mrs. Lucresia Fields, Counselor Medicare: May Accept Medicare Assignments Practice Location: 14b 4th St E # 588b, Universal City, TX 78148 Phone: 325-271-8477 |
Brandi Dawn Martin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Pat Booker Rd Ste 208, Universal City, TX 78148 Phone: 830-570-9979 |
Mrs. Jacqueline Annette Tobar-lax, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Kitty Hawk Rd, Universal City, TX 78148 Phone: 210-549-1704 |
Ms. Gladys Cisneros, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Kitty Hawk Rd, Suite 219, Universal City, TX 78148 Phone: 210-566-1280 Fax: 210-579-8533 |