| Tarsha Gibson, LPC | |
|
1145 Vernon Dr, Providence Village, TX 76227-8192 | |
| (517) 763-8316 | |
| Not Available |
| Full Name | Tarsha Gibson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1145 Vernon Dr, Providence Village, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528472008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401014286 (Michigan) | Primary |
| Entity Name | Geode Health Of Texas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851037162 PECOS PAC ID: 2062896897 Enrollment ID: O20220829001698 |
| Entity Name | Great Expectations Wellness Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548975089 PECOS PAC ID: 8224573084 Enrollment ID: O20240716004790 |
| Mailing Address | Practice Location Address |
|---|---|
| Tarsha Gibson, LPC Po Box 1154, Little Elm, TX 75068-1154 Ph: (517) 763-8316 | Tarsha Gibson, LPC 1145 Vernon Dr, Providence Village, TX 76227-8192 Ph: (517) 763-8316 |
Ms. Shetanqua Cardiaye Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1917 Bridgeport Dr, Providence Village, TX 76227 Phone: 318-235-1487 | |
Angela Marie Barefoot, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8939 Stallings Dr, Providence Village, TX 76227 Phone: 214-784-0715 | |
Mrs. Patricia Elizabeth Grisso, LMFT, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9029 Benevolent Ct, Providence Village, TX 76227 Phone: 940-765-0880 | |
Lauren Paz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 Providence Blvd, Providence Village, TX 76227 Phone: 940-206-1925 | |
Jodi Jarrett, PHD, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 2128 Dewitt Ln, Providence Village, TX 76227 Phone: 954-248-7298 | |
Harriet Deann Hegi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9854 Birch Dr, Providence Village, TX 76227 Phone: 940-464-5059 |