| Oak Bridge Counseling, Pllc | |
|
911 W Loop 281 Ste 316 Longview TX 75604-2930 | |
| (903) 261-5114 | |
| Not Available |
| Full Name | Oak Bridge Counseling, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 911 W Loop 281 Ste 316, Longview, Texas |
| Authorized Official Name and Position | Christyn Eve Jaap (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9032615114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Bridge Counseling, Pllc 911 W Loop 281 Ste 316 Longview TX 75604-2930 Ph: (903) 261-5114 | Oak Bridge Counseling, Pllc 911 W Loop 281 Ste 316 Longview TX 75604-2930 Ph: (903) 261-5114 |
| NPI Number | 1407533417 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 05/20/2025 |
| Certification Date | 05/20/2025 |
| Medicare PECOS PAC ID | 5698290328 |
|---|---|
| Medicare Enrollment ID | O20250415004040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407533417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Christyn Eve Jaap |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821667957 PECOS PAC ID: 4880138247 Enrollment ID: I20240627000351 |
| Provider Name | Kurt Bannert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619414364 PECOS PAC ID: 3274043435 Enrollment ID: I20250607000203 |
| Provider Name | Shelly Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891531315 PECOS PAC ID: 8426568593 Enrollment ID: I20250609000177 |
Faithfully Restored Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Tristan Ln, Longview, TX 75604 Phone: 903-918-6574 Fax: 903-704-0980 | |
Heather R. Mcconnell, M.a., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 W Loop 281, Suite 423, Longview, TX 75604 Phone: 903-759-2402 Fax: 903-759-2570 | |
Jonathan C. Lockhart, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 W Loop 281, Suite 111, Longview, TX 75604 Phone: 903-295-8994 Fax: 903-295-8987 | |
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