| Trisha Danielle Broadright, LPC | |
|
301 S Rogers St Ste 205, Waxahachie, TX 75165-3348 | |
| (719) 685-6729 | |
| Not Available |
| Full Name | Trisha Danielle Broadright |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 301 S Rogers St Ste 205, Waxahachie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588049951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0013894 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | 74564 (Texas) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
| Mailing Address | Practice Location Address |
|---|---|
| Trisha Danielle Broadright, LPC 301 S Rogers St Ste 205, Waxahachie, TX 75165-3348 Ph: (719) 685-6729 | Trisha Danielle Broadright, LPC 301 S Rogers St Ste 205, Waxahachie, TX 75165-3348 Ph: (719) 685-6729 |
Dr. William M. Carpenter Iii, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Ymca Dr Ste 103, Waxahachie, TX 75165 Phone: 469-225-9040 | |
Michelle Reynolds Simmons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1014 Ferris Ave Ste 1045, Waxahachie, TX 75165 Phone: 817-933-2772 | |
Rosalyn H Blackman, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 W Main St, Waxahachie, TX 75165 Phone: 214-845-0622 | |
April Rose Steadham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Taylor Ridge Dr, Waxahachie, TX 75167 Phone: 214-797-1557 | |
Alysen Ralstin, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Sycamore St, Waxahachie, TX 75165 Phone: 972-825-4722 | |
Audrey M Crouch, LPC, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 S Rogers St Ste 205, Waxahachie, TX 75165 Phone: 469-297-0682 | |
Ms. Shannon Leigh Jennings, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Executive Ct, Waxahachie, TX 75165 Phone: 972-923-9214 |