| Zayle Dawn Riddle, LPC | |
|
104 Pirate Dr, Granbury, TX 76048-5682 | |
| (817) 573-2662 | |
| Not Available |
| Full Name | Zayle Dawn Riddle |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 104 Pirate Dr, Granbury, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356012819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Supportive Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477895043 PECOS PAC ID: 7719126655 Enrollment ID: O20130625000484 |
| Mailing Address | Practice Location Address |
|---|---|
| Zayle Dawn Riddle, LPC 2101 W Pearl St, Granbury, TX 76048-1894 Ph: (817) 579-4400 | Zayle Dawn Riddle, LPC 104 Pirate Dr, Granbury, TX 76048-5682 Ph: (817) 573-2662 |
Megan Ann Landress, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2930 Meandering Way, Granbury, TX 76049 Phone: 682-364-7057 | |
Rebecca Jones, LCDC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 2111 W Highway 377, Granbury, TX 76048 Phone: 817-573-6002 Fax: 817-573-6009 | |
Gary R Hively, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2111 W Hwy 377, Granbury, TX 76048 Phone: 817-573-6002 Fax: 817-573-6009 | |
Mrs. Mollie M Van Deusen, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4425 E Hyw 377, Suite 116, Granbury, TX 76049 Phone: 940-902-2632 | |
Joshua David Morrison, LCDC, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 823 Wandering Ct, Granbury, TX 76049 Phone: 817-964-2527 | |
Chancey Marie Ruiz, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2111 W Us Highway 377, Granbury, TX 76048 Phone: 817-573-6002 Fax: 817-573-6009 | |
Mason Trae Sweatt, MA LPC Counselor Medicare: Medicare Enrolled Practice Location: 307 W Pearl St, Granbury, TX 76048 Phone: 682-529-7613 |