| Shantale Etheridge, | |
|
6000 Brushy Creek Dr, Killeen, TX 76549-2001 | |
| (254) 519-8803 | |
| (254) 519-8805 |
| Full Name | Shantale Etheridge |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 22 Years |
| Location | 6000 Brushy Creek Dr, Killeen, Texas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801338538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 79090 (Texas) | Primary |
| Entity Name | Metroplex Clinic Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891730396 PECOS PAC ID: 9537183124 Enrollment ID: O20060123000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Shantale Etheridge, 2403 W Stan Schlueter Loop Unit 690125, Killeen, TX 76549-0206 Ph: (254) 499-2905 | Shantale Etheridge, 6000 Brushy Creek Dr, Killeen, TX 76549-2001 Ph: (254) 519-8803 |
Destinee Devae Henderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Lavender Ln, Killeen, TX 76549 Phone: 254-319-8600 |
Da Shanda Deas-davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Alamocitos Creek Dr, Killeen, TX 76549 Phone: 254-371-0056 |
Mr. Christopher Kent Joslin, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Southbrook Dr, Killeen, TX 76542 Phone: 254-616-6757 |
Ms. Stacie Levine Gibson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2911 Benchmark Trl, Killeen, TX 76543 Phone: 254-535-0727 |
Adrianna Moreno, LPC, NCC, CCTSI Counselor Medicare: Medicare Enrolled Practice Location: 1805 Florence Rd Ste 18, Killeen, TX 76541 Phone: 254-213-0566 |
Mr. Gary Sosbee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 S W S Young Dr Ste 116b, Killeen, TX 76543 Phone: 254-634-2212 |
Mrs. Eleanor Lewis Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2809 W Stan Schlueter Loop Ste 101406, Killeen, TX 76549 Phone: 254-300-7837 |