| Gabriela Villa, | |
|
8350 N Central Expy Ste 1900, Dallas, TX 75206-1604 | |
| (512) 956-6463 | |
| (866) 653-5142 |
| Full Name | Gabriela Villa |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 8350 N Central Expy Ste 1900, Dallas, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538669072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 204483 (Texas) | Primary |
| Entity Name | Deep Eddy Psychotherapy Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457740862 PECOS PAC ID: 2264886936 Enrollment ID: O20230928002745 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriela Villa, 17746 James C Jack Dr, Justin, TX 76247-7592 Ph: (682) 560-6602 | Gabriela Villa, 8350 N Central Expy Ste 1900, Dallas, TX 75206-1604 Ph: (512) 956-6463 |
Mrs. Melissa Diane Powell, LMFT-A Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1409 S Lamar St, Suite 416, Dallas, TX 75215 Phone: 469-939-4310 | |
Megan Krystine Rueda, LMFT-ASSOCIATE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6750 Hillcrest Plaza Dr Ste 224, Dallas, TX 75230 Phone: 469-396-6866 | |
Brooke Benandi, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4144 N Central Expy Ste 850, Dallas, TX 75204 Phone: 972-865-8782 Fax: 972-499-6935 | |
Mr. Jeffrey Lane Holland, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7255 W Camp Wisdom Rd, Dallas, TX 75236 Phone: 214-699-4157 | |
Caroline Elaine Rucker, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3300 Oak Lawn Ave Ste 601, Dallas, TX 75219 Phone: 214-310-0417 | |
Natalie Eilat, LMFT-A Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5402 Arapaho Rd, Dallas, TX 75248 Phone: 469-496-2563 | |
Stefanie Miles, LPC ASSOCIATE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12740 Hillcrest Rd Ste 270, Dallas, TX 75230 Phone: 214-487-6050 |