| Michael Justin Quintana, LMFT | |
|
355 Palm Blvd, Brownsville, TX 78520-5431 | |
| (956) 455-7811 | |
| Not Available |
| Full Name | Michael Justin Quintana |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 355 Palm Blvd, Brownsville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730843285 | NPI | - | NPPES |
| 473397401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 204290 (Texas) | Primary |
| Entity Name | New Spark Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326702879 PECOS PAC ID: 1153704606 Enrollment ID: O20220816000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Justin Quintana, LMFT 355 Palm Blvd, Brownsville, TX 78520-5431 Ph: (956) 410-2802 | Michael Justin Quintana, LMFT 355 Palm Blvd, Brownsville, TX 78520-5431 Ph: (956) 455-7811 |
Sudha Banerjee, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3800 Ruben Torres Sr Blvd Ste 203, Brownsville, TX 78526 Phone: 956-579-2346 Fax: 956-899-2429 | |
Mr. Rick P Moses, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4430 E 14th St, Unit E-3, Brownsville, TX 78521 Phone: 956-434-1351 Fax: 866-844-2096 | |
Roberto Jesus Juarez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5302 Rustic Mnr, Brownsville, TX 78526 Phone: 956-592-7985 | |
Moses Michael Losoya, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4625 Central Circle, Brownsville, TX 78521 Phone: 956-204-5446 | |
Jennifer Erica Moore, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3380 Ruben Torres Sr Blvd Ste 203e, Brownsville, TX 78526 Phone: 956-579-2346 |