| Susan Lynette Moore, | |
|
901 S Hewitt Dr Unit 36, Hewitt, TX 76643-8003 | |
| (254) 644-8883 | |
| Not Available |
| Full Name | Susan Lynette Moore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 901 S Hewitt Dr Unit 36, Hewitt, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467178020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 81860 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etsah Counseling Center, Pllc | 7719262153 | 3 |
| Entity Name | Etsah Counseling Center, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427591320 PECOS PAC ID: 7719262153 Enrollment ID: O20170327000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Lynette Moore, 901 S Hewitt Dr Unit 36, Hewitt, TX 76643-8003 Ph: (254) 644-8883 | Susan Lynette Moore, 901 S Hewitt Dr Unit 36, Hewitt, TX 76643-8003 Ph: (254) 644-8883 |
Ryan Litke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 Park Ln, Hewitt, TX 76643 Phone: 254-644-3117 |
Jennifer Hardt, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1124 Dendron Dr, Hewitt, TX 76643 Phone: 254-300-6289 |
Erika Rodriguez, LPC ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 W Wall St, Hewitt, TX 76643 Phone: 254-235-9536 |
Ms. Tamara Segars Ott, Counselor Medicare: Accepting Medicare Assignments Practice Location: 404 Oakberry Dr, Hewitt, TX 76643 Phone: 254-230-2206 |
Aimee Lyn Farris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Chelsea Dr, Hewitt, TX 76643 Phone: 254-332-3755 |
Karen Denise Bostick, M.ED., L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 625 S Hewitt Dr, Hewitt, TX 76643 Phone: 806-928-1453 |
Mrs. Summer Shebley-jonard, MEC,PPS CREDENTIAL Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 N 1st St, Hewitt, TX 76643 Phone: 916-266-3160 |