| Nicole Bereolos, Phd, Pllc | |
|
9330 Lbj Fwy Ste 900 Dallas TX 75243-3443 | |
| (972) 768-7994 | |
| Not Available |
| Full Name | Nicole Bereolos, Phd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 9330 Lbj Fwy Ste 900, Dallas, Texas |
| Authorized Official Name and Position | Nicole Bereolos (OWNER) |
| Authorized Official Contact | 9727687994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Bereolos, Phd, Pllc 2033 W Mcdermott Dr, Ste 320 #184 Allen TX 75013-4675 Ph: () - | Nicole Bereolos, Phd, Pllc 9330 Lbj Fwy Ste 900 Dallas TX 75243-3443 Ph: (972) 768-7994 |
| NPI Number | 1184115313 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184115313 | NPI | - | NPPES |
| 289346301 | Medicaid | TX | |
| 60054 | Other | AETNA | |
| 0012XH | Other | BCBS | |
| 1427341825 | Other | NPI | |
| 3809908 | Other | CIGNA | |
| 600766136 | Other | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Dallas County Mental Health Mental Retardation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 River Bend Dr, Dallas, TX 75247 Phone: 214-743-6159 | |
Lifenet Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9708 Skillman St, Dallas, TX 75243 Phone: 214-221-5433 Fax: 214-932-1977 | |
Eric B. Williams, Md, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12801 N Central Expy Ste 350, Dallas, TX 75243 Phone: 214-702-5336 Fax: 972-773-9843 | |
Bienstar Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13140 Coit Rd Ste 326, Dallas, TX 75240 Phone: 214-682-7842 | |
Howdy Pediatrics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 539 W Commerce St Ste 608, Dallas, TX 75208 Phone: 214-494-0448 Fax: 210-547-2046 | |
Empowerment Intervention Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 Strickland St, Dallas, TX 75216 Phone: 804-647-9292 | |
Lucienne Cohen Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4007 Bowser Ave Apt E, Dallas, TX 75219 Phone: 617-823-3007 |