| Se Hee Seo, | |
|
14275 Midway Rd Ste 200, Addison, TX 75001-3618 | |
| (469) 431-0825 | |
| Not Available |
| Full Name | Se Hee Seo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 14275 Midway Rd Ste 200, Addison, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790306975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH61667588 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | 81537 (Texas) | Primary |
| Entity Name | Mindful Therapy Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
| Mailing Address | Practice Location Address |
|---|---|
| Se Hee Seo, 14275 Midway Rd Ste 200, Addison, TX 75001-3618 Ph: (469) 431-0825 | Se Hee Seo, 14275 Midway Rd Ste 200, Addison, TX 75001-3618 Ph: (469) 431-0825 |
Symone Roberts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4006 Belt Line Rd, Addison, TX 75001 Phone: 214-307-2183 | |
Daniel Rodriguez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4131 Runyon Rd, Addison, TX 75001 Phone: 214-586-0249 | |
Victoria Hope Zimmerman, LPC-INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 4811 Broadway St, Addison, TX 75001 Phone: 206-999-1605 | |
Jim Savage, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4950 Keller Springs Rd Ste 180, Addison, TX 75001 Phone: 214-789-8456 | |
Hilda Hazel Mcclure, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15851 Dallas Pkwy Ste 600, Addison, TX 75001 Phone: 214-267-9556 | |
Josh Freeman, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14673 Midway Rd Ste 110, Addison, TX 75001 Phone: 469-904-2408 | |
Carlos Ivan Acosta, MASTERS Counselor Medicare: Not Enrolled in Medicare Practice Location: 15851 Dallas Pkwy, Addison, TX 75001 Phone: 214-267-9556 Fax: 833-457-1700 |