| Otilia Chavez, LPC | |
|
1801 N Laurent St Ste 107, Victoria, TX 77901-5462 | |
| (361) 894-8734 | |
| Not Available |
| Full Name | Otilia Chavez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1801 N Laurent St Ste 107, Victoria, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457714396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 70447 (Texas) | Primary |
| Entity Name | Gulf Bend Mental Health Mental Retardation Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467434399 PECOS PAC ID: 8628059631 Enrollment ID: O20040526000736 |
| Mailing Address | Practice Location Address |
|---|---|
| Otilia Chavez, LPC 6502 Nursery Drive, Suite 100, Victoria, TX 77904 Ph: (361) 582-2337 | Otilia Chavez, LPC 1801 N Laurent St Ste 107, Victoria, TX 77901-5462 Ph: (361) 894-8734 |
April Marie Guevara, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1402 Village Dr, Victoria, TX 77901 Phone: 361-218-4794 | |
Kim Lantiegne Stanfield, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5606 N. Navarro, Ste 200p, Victoria, TX 77901 Phone: 361-485-6645 | |
Mrs. Cleva V Schoener, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Patterson Dr, Victoria, TX 77901 Phone: 361-575-5021 Fax: 361-575-0623 | |
Mrs. Shirley B Johnson, M.ED., LBSW, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3806 N Main St, Victoria, TX 77901 Phone: 361-485-0899 Fax: 361-485-0817 | |
Ms. Christy Hernandez Rodriguez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Kensington Dr, Victoria, TX 77901 Phone: 361-489-2779 | |
Amanda Jean Tomasek, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1006 Edinburgh St, Victoria, TX 77904 Phone: 361-212-3552 | |
Tracy Dawn Chase, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6502 Nursery Dr, Suite 100, Victoria, TX 77904 Phone: 361-575-0611 Fax: 361-528-2327 |