| Lifestance Health | |
|
308 S Friendswood Dr Ste 110 Friendswood TX 77546-3989 | |
| (281) 993-3733 | |
| (281) 648-2200 |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 308 S Friendswood Dr Ste 110, Friendswood, Texas |
| Authorized Official Name and Position | Anisha Patel-dunn (MD) |
| Authorized Official Contact | 2819933733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health Po Box 670687 Dallas TX 75267-0687 Ph: (281) 993-3733 | Lifestance Health 308 S Friendswood Dr Ste 110 Friendswood TX 77546-3989 Ph: (281) 993-3733 |
| NPI Number | 1659567238 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Medicare PECOS PAC ID | 4486794906 |
|---|---|
| Medicare Enrollment ID | O20091214000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659567238 | NPI | - | NPPES |
| 2114720-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | N2254 (Texas) | Primary |
| Provider Name | Kelly M Hays |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205892619 PECOS PAC ID: 9830089234 Enrollment ID: I20040318001093 |
| Provider Name | Rebecca Carreon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811004898 PECOS PAC ID: 1658262449 Enrollment ID: I20040322001381 |
| Provider Name | Edward Jason Muldrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851378814 PECOS PAC ID: 0244201879 Enrollment ID: I20040805000478 |
| Provider Name | Stewart R Keller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881647295 PECOS PAC ID: 2163490392 Enrollment ID: I20040924000095 |
| Provider Name | Shakil Ahmad Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376009126 PECOS PAC ID: 5799747796 Enrollment ID: I20041102000418 |
| Provider Name | Kevin Jay Schloneger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447325618 PECOS PAC ID: 2668430158 Enrollment ID: I20050103000016 |
| Provider Name | Mustafa Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013988542 PECOS PAC ID: 2961451653 Enrollment ID: I20050120000201 |
| Provider Name | John N Enriquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548368384 PECOS PAC ID: 5092769489 Enrollment ID: I20050309000172 |
| Provider Name | James G Minto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962586180 PECOS PAC ID: 9739134131 Enrollment ID: I20050318000306 |
| Provider Name | Laura Sue Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689615197 PECOS PAC ID: 3779509104 Enrollment ID: I20051014000816 |
| Provider Name | Peggy Ann Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053480228 PECOS PAC ID: 4284657917 Enrollment ID: I20060109001009 |
| Provider Name | Haritha Maramreddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225047574 PECOS PAC ID: 5799799250 Enrollment ID: I20060203000485 |
| Provider Name | Tracie M Dejarnette Holly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699786681 PECOS PAC ID: 5890790109 Enrollment ID: I20080227000401 |
| Provider Name | Nicole B Dorsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376673400 PECOS PAC ID: 0941372130 Enrollment ID: I20080703000193 |
| Provider Name | Shivani Myer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518171255 PECOS PAC ID: 1557419926 Enrollment ID: I20090514000289 |
| Provider Name | Aminur Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124221965 PECOS PAC ID: 6204973787 Enrollment ID: I20091103000104 |
| Provider Name | Italo Augusto Samano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770530974 PECOS PAC ID: 6507995610 Enrollment ID: I20100528000229 |
| Provider Name | Lynora J Metoyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740360213 PECOS PAC ID: 3971629247 Enrollment ID: I20100923000748 |
| Provider Name | Carol Kimble |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649584541 PECOS PAC ID: 8022134055 Enrollment ID: I20100928000771 |
| Provider Name | Claire L Friedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811063209 PECOS PAC ID: 9537352893 Enrollment ID: I20101019000540 |
| Provider Name | Mary J Glenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316980832 PECOS PAC ID: 9234322280 Enrollment ID: I20101021001452 |
| Provider Name | Gloria Keraga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053330225 PECOS PAC ID: 0345434445 Enrollment ID: I20101103000132 |
| Provider Name | William W Wardell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770505851 PECOS PAC ID: 5890989677 Enrollment ID: I20101105000532 |
| Provider Name | Diane Behnke Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912943432 PECOS PAC ID: 6507827102 Enrollment ID: I20101230000912 |
| Provider Name | Michael George Castillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992734479 PECOS PAC ID: 8325009921 Enrollment ID: I20101230000933 |
| Provider Name | John William Perry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184635468 PECOS PAC ID: 8022299387 Enrollment ID: I20110221000630 |
| Provider Name | Barbara B Kirsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992857916 PECOS PAC ID: 5496931727 Enrollment ID: I20110520000219 |
| Provider Name | Earl M Stenger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992806293 PECOS PAC ID: 9638349400 Enrollment ID: I20110906000043 |
| Provider Name | Eugene Kivett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780781013 PECOS PAC ID: 2466558879 Enrollment ID: I20111227000554 |
| Provider Name | Joann Gulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568694917 PECOS PAC ID: 8628238052 Enrollment ID: I20120322000280 |
| Provider Name | Toni Brent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821379561 PECOS PAC ID: 2668633728 Enrollment ID: I20120417000364 |
| Provider Name | Cristina L Winters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942527056 PECOS PAC ID: 3274797550 Enrollment ID: I20120627000631 |
| Provider Name | Lynda M Parker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356323588 PECOS PAC ID: 1658536131 Enrollment ID: I20120709000025 |
| Provider Name | Edmund Cavazos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568461986 PECOS PAC ID: 9638335276 Enrollment ID: I20120725000646 |
| Provider Name | Shamima S Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932302767 PECOS PAC ID: 8123284544 Enrollment ID: I20120730000166 |
| Provider Name | Daniel Lee Coulter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487850905 PECOS PAC ID: 8628226693 Enrollment ID: I20120917000413 |
| Provider Name | Marc W Kundler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265488928 PECOS PAC ID: 1456524743 Enrollment ID: I20130808000923 |
| Provider Name | Jonathan Norwood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699016410 PECOS PAC ID: 3476796509 Enrollment ID: I20130821000392 |
| Provider Name | Ruth Honey Covin-weeks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013340546 PECOS PAC ID: 6103051263 Enrollment ID: I20131025000338 |
| Provider Name | Maria Socorro Pasco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598854788 PECOS PAC ID: 2365677143 Enrollment ID: I20131102000064 |
| Provider Name | Bradley D Vessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891884649 PECOS PAC ID: 2961402656 Enrollment ID: I20131115000794 |
| Provider Name | Naiga Dohnji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912337205 PECOS PAC ID: 8123256518 Enrollment ID: I20140109001667 |
| Provider Name | Rudo Shoko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366871543 PECOS PAC ID: 1850515842 Enrollment ID: I20140613000340 |
| Provider Name | Matthew Lynx |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013147453 PECOS PAC ID: 7113145939 Enrollment ID: I20140820000745 |
| Provider Name | Barbara W Gamez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619290848 PECOS PAC ID: 9335360007 Enrollment ID: I20141021002849 |
| Provider Name | Tara I Netter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164629994 PECOS PAC ID: 8628299823 Enrollment ID: I20141030002218 |
| Provider Name | Alice W Noles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700282068 PECOS PAC ID: 0941523443 Enrollment ID: I20150107001874 |
| Provider Name | Trenice Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033522461 PECOS PAC ID: 4688999196 Enrollment ID: I20150204000764 |
| Provider Name | Sabrina Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801958855 PECOS PAC ID: 0042316002 Enrollment ID: I20150210001892 |
| Provider Name | Bradley L Gerber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598038853 PECOS PAC ID: 9032435391 Enrollment ID: I20150303002070 |
| Provider Name | Rebecca S Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295723211 PECOS PAC ID: 6305157793 Enrollment ID: I20150720002499 |
| Provider Name | Odiri Akushe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023496726 PECOS PAC ID: 3072524685 Enrollment ID: I20150805009082 |
| Provider Name | Queeneth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073869558 PECOS PAC ID: 6709190473 Enrollment ID: I20150810000566 |
| Provider Name | Mary K Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982087581 PECOS PAC ID: 6901113901 Enrollment ID: I20150924000978 |
| Provider Name | Leslie Shepherd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659330637 PECOS PAC ID: 8022115914 Enrollment ID: I20151203003311 |
| Provider Name | Dawn Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174912299 PECOS PAC ID: 2264732635 Enrollment ID: I20151208001575 |
| Provider Name | Lauren K Saliba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124356001 PECOS PAC ID: 9739481441 Enrollment ID: I20160112000898 |
| Provider Name | Sarah Fedak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962879460 PECOS PAC ID: 8426351594 Enrollment ID: I20160122001892 |
| Provider Name | Courtney Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275908162 PECOS PAC ID: 3971809385 Enrollment ID: I20160311000162 |
| Provider Name | Stella Apari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023476934 PECOS PAC ID: 7113078809 Enrollment ID: I20160316001787 |
| Provider Name | Margaret M Betanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336449297 PECOS PAC ID: 9638476450 Enrollment ID: I20160322002279 |
| Provider Name | Kujachalia Knapper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265844674 PECOS PAC ID: 0446557888 Enrollment ID: I20160329002584 |
| Provider Name | Amanda Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346609583 PECOS PAC ID: 1254630130 Enrollment ID: I20160427001030 |
| Provider Name | Jamila Y Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962871632 PECOS PAC ID: 8527367085 Enrollment ID: I20160504002063 |
| Provider Name | Monica Durham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740666957 PECOS PAC ID: 1951689157 Enrollment ID: I20161021001964 |
| Provider Name | Adejumoke D Onadeko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598215535 PECOS PAC ID: 1254619265 Enrollment ID: I20161026001506 |
| Provider Name | Dorinda Lescault |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114299302 PECOS PAC ID: 5395025514 Enrollment ID: I20161206000249 |
| Provider Name | Joy O Ichie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972054450 PECOS PAC ID: 9032490586 Enrollment ID: I20161221001838 |
| Provider Name | Tahirah Trinile Samuels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629527619 PECOS PAC ID: 0244513620 Enrollment ID: I20170208003060 |
| Provider Name | George Devejian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780135988 PECOS PAC ID: 9032493259 Enrollment ID: I20170307000132 |
| Provider Name | Rachel Marie Troup-roderick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275071615 PECOS PAC ID: 2163706268 Enrollment ID: I20170406003097 |
| Provider Name | Melinda Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043768872 PECOS PAC ID: 9931476116 Enrollment ID: I20170518000038 |
| Provider Name | Lorraine Victorian Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033510979 PECOS PAC ID: 9537174701 Enrollment ID: I20170613000614 |
| Provider Name | Izuchukwu Emejulu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750821104 PECOS PAC ID: 4880968478 Enrollment ID: I20170920002646 |
| Provider Name | Anthony L Benoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083087365 PECOS PAC ID: 7810261310 Enrollment ID: I20170921003703 |
| Provider Name | Maher Chehab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699294728 PECOS PAC ID: 6406113604 Enrollment ID: I20171127000304 |
| Provider Name | Ronald Steven Palomares |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831327832 PECOS PAC ID: 2062779887 Enrollment ID: I20171204002581 |
| Provider Name | Cherylonda Ramzy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528568227 PECOS PAC ID: 6103180740 Enrollment ID: I20180507000678 |
| Provider Name | Latarsha Waltronia Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376073072 PECOS PAC ID: 9032474283 Enrollment ID: I20180517002220 |
| Provider Name | Caryn Datrice Darwin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356845978 PECOS PAC ID: 2062777246 Enrollment ID: I20180518000606 |
| Provider Name | Joseph N Bishara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942647961 PECOS PAC ID: 3678872033 Enrollment ID: I20180719003089 |
| Provider Name | Marykutty Augustine Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538653944 PECOS PAC ID: 8426307877 Enrollment ID: I20180820000632 |
| Provider Name | Brittany S Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790288090 PECOS PAC ID: 3971852161 Enrollment ID: I20180821003594 |
| Provider Name | Nereida Gonzalez-berrios |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528279874 PECOS PAC ID: 3870666019 Enrollment ID: I20180910001793 |
| Provider Name | Elisa Yvette Hilario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881172898 PECOS PAC ID: 8527318617 Enrollment ID: I20180911003258 |
| Provider Name | Myra Chizo Gaius-anyaegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477065464 PECOS PAC ID: 0042560971 Enrollment ID: I20180913002040 |
| Provider Name | Chelsea April Leary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679056949 PECOS PAC ID: 5294087615 Enrollment ID: I20181015000191 |
| Provider Name | Sheila M Sasieta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760741011 PECOS PAC ID: 5991011561 Enrollment ID: I20181017001998 |
| Provider Name | Gustavo Mathieu Fornet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245698471 PECOS PAC ID: 4981902293 Enrollment ID: I20181030001305 |
| Provider Name | Destiny Joy Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689149817 PECOS PAC ID: 7911241161 Enrollment ID: I20181129001297 |
| Provider Name | Vanessa Almodovar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255810487 PECOS PAC ID: 7719221829 Enrollment ID: I20181130000444 |
| Provider Name | Kenethia Louise Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699112979 PECOS PAC ID: 6507100377 Enrollment ID: I20181205001070 |
| Provider Name | Vilma Lorena Rangel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033684642 PECOS PAC ID: 0345585600 Enrollment ID: I20181214002644 |
| Provider Name | Abiola Omo Oyemade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417454992 PECOS PAC ID: 6507102910 Enrollment ID: I20190107000563 |
| Provider Name | Lisa Michelle Lassen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003389099 PECOS PAC ID: 9739426628 Enrollment ID: I20190131000303 |
| Provider Name | Parvathy Nair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598055907 PECOS PAC ID: 5799920633 Enrollment ID: I20190201000468 |
| Provider Name | Oluwadayo Busola Adeyemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669961504 PECOS PAC ID: 0345588042 Enrollment ID: I20190205000267 |
| Provider Name | Linnea Brooke Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508322454 PECOS PAC ID: 9032459706 Enrollment ID: I20190314002673 |
| Provider Name | Ashly Nicole Huffstatler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710448154 PECOS PAC ID: 4880935006 Enrollment ID: I20190416000893 |
| Provider Name | Monica L Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750891214 PECOS PAC ID: 8123386927 Enrollment ID: I20190426000998 |
| Provider Name | Emmanuel Makia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942866801 PECOS PAC ID: 3375876105 Enrollment ID: I20190611002250 |
| Provider Name | Brian Zachariah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093126302 PECOS PAC ID: 5991038416 Enrollment ID: I20190614000346 |
| Provider Name | Kepha Siriba Nyangweso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891355178 PECOS PAC ID: 6406181668 Enrollment ID: I20190710001099 |
| Provider Name | Terri Peerenboom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841859113 PECOS PAC ID: 6103155148 Enrollment ID: I20190917000831 |
| Provider Name | Renia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649795451 PECOS PAC ID: 9234460312 Enrollment ID: I20191004001028 |
| Provider Name | Zaw Win |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174516579 PECOS PAC ID: 4183683139 Enrollment ID: I20191004002273 |
| Provider Name | Wardell Brian Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114440195 PECOS PAC ID: 8325379969 Enrollment ID: I20191011000690 |
| Provider Name | Mehreen Ghanchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003463506 PECOS PAC ID: 7214269257 Enrollment ID: I20191024001807 |
| Provider Name | Mohamed W Bah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790333748 PECOS PAC ID: 4789916511 Enrollment ID: I20191029001192 |
| Provider Name | Marnie Richard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851765473 PECOS PAC ID: 0143552851 Enrollment ID: I20191030001372 |
| Provider Name | Elias Barghash |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497285043 PECOS PAC ID: 7517399645 Enrollment ID: I20191112000904 |
| Provider Name | Jaleesa Dkendra Dukuly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639713035 PECOS PAC ID: 7719311075 Enrollment ID: I20191220000398 |
| Provider Name | Joyce Adele Sauter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932752383 PECOS PAC ID: 5395179915 Enrollment ID: I20200107001121 |
| Provider Name | Elise Nichole Griffin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083095541 PECOS PAC ID: 8527310226 Enrollment ID: I20200130001032 |
| Provider Name | Perpetua Eze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801427141 PECOS PAC ID: 6305274184 Enrollment ID: I20200309001977 |
| Provider Name | Mary L Krolik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295814366 PECOS PAC ID: 0345234316 Enrollment ID: I20200326003357 |
| Provider Name | Clara Llynn Arrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669906681 PECOS PAC ID: 9234406067 Enrollment ID: I20200414000496 |
| Provider Name | Sumeet Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851710461 PECOS PAC ID: 6901150671 Enrollment ID: I20200520001675 |
| Provider Name | Inger Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851944631 PECOS PAC ID: 8527489632 Enrollment ID: I20200528000080 |
| Provider Name | Monique Desiree Straker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649806282 PECOS PAC ID: 9335560127 Enrollment ID: I20200603001375 |
| Provider Name | Shirley Billiot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649581992 PECOS PAC ID: 4385839497 Enrollment ID: I20200619000468 |
| Provider Name | Bianca Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154794188 PECOS PAC ID: 4183049174 Enrollment ID: I20200807002034 |
| Provider Name | Rachel Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639794019 PECOS PAC ID: 7012334386 Enrollment ID: I20200901001670 |
| Provider Name | Davidson Iheanyichukwu Ewuzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508406018 PECOS PAC ID: 3779900899 Enrollment ID: I20200903000180 |
| Provider Name | Patricia Michelle Figueroa-cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083131692 PECOS PAC ID: 8820417751 Enrollment ID: I20200928000134 |
| Provider Name | Mary Mainville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295051530 PECOS PAC ID: 3678703535 Enrollment ID: I20200928001737 |
| Provider Name | Priya Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629693353 PECOS PAC ID: 0840619649 Enrollment ID: I20200928003162 |
| Provider Name | Mary Halm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801410659 PECOS PAC ID: 3173942901 Enrollment ID: I20200929001193 |
| Provider Name | Jacquelin Annette Joffray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154574879 PECOS PAC ID: 6608013818 Enrollment ID: I20201009002347 |
| Provider Name | Peters A Etchu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760091979 PECOS PAC ID: 7517387681 Enrollment ID: I20201012002770 |
| Provider Name | Ethel Mae Richard-peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750648119 PECOS PAC ID: 4587084496 Enrollment ID: I20201014003478 |
| Provider Name | Claire Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033722129 PECOS PAC ID: 7214357623 Enrollment ID: I20201022003046 |
| Provider Name | Tihana Sladic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184231805 PECOS PAC ID: 6002226214 Enrollment ID: I20201029000262 |
| Provider Name | Elizabeth N Emebo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134741416 PECOS PAC ID: 0446660658 Enrollment ID: I20201029000312 |
| Provider Name | Maria Albrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679190813 PECOS PAC ID: 1456761568 Enrollment ID: I20201030001850 |
| Provider Name | Sarah N Gatumu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750489845 PECOS PAC ID: 1951303833 Enrollment ID: I20201103003157 |
| Provider Name | Careen Endam Tetuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467928366 PECOS PAC ID: 4183034671 Enrollment ID: I20201112001693 |
| Provider Name | Soonja Tyrrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659937878 PECOS PAC ID: 1254667421 Enrollment ID: I20201202001963 |
| Provider Name | Tasha Oladipo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568958635 PECOS PAC ID: 5092127555 Enrollment ID: I20201208000742 |
| Provider Name | Samantha Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427653161 PECOS PAC ID: 2769894047 Enrollment ID: I20201210000356 |
| Provider Name | Shaneice Demetris Green Branch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821241472 PECOS PAC ID: 5496167504 Enrollment ID: I20201215000530 |
| Provider Name | Chioma Imelda Eze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912518432 PECOS PAC ID: 7113339904 Enrollment ID: I20201221000738 |
| Provider Name | Lauren Barr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922604776 PECOS PAC ID: 3577976083 Enrollment ID: I20201230000764 |
| Provider Name | Alexandra Tique-montenegro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902943939 PECOS PAC ID: 8820334881 Enrollment ID: I20210127003079 |
| Provider Name | Nicole Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306455928 PECOS PAC ID: 8921412230 Enrollment ID: I20210128000352 |
| Provider Name | Reginald Keith Riggins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649818550 PECOS PAC ID: 7719391622 Enrollment ID: I20210203001990 |
| Provider Name | Elizabeth Nnenna Emeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649897174 PECOS PAC ID: 1355757857 Enrollment ID: I20210308002802 |
| Provider Name | Laquindra M Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194316083 PECOS PAC ID: 8729495734 Enrollment ID: I20210318000322 |
| Provider Name | Micaela Brewer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417268152 PECOS PAC ID: 7315354669 Enrollment ID: I20210401002385 |
| Provider Name | Michelle R Myers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336472943 PECOS PAC ID: 0143361394 Enrollment ID: I20210513000226 |
| Provider Name | Caroline M Ogashi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427633726 PECOS PAC ID: 9234548561 Enrollment ID: I20210517001871 |
| Provider Name | Caroline Lam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205365269 PECOS PAC ID: 6305245150 Enrollment ID: I20210527000223 |
| Provider Name | Arlet I Olivares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295321180 PECOS PAC ID: 9436558269 Enrollment ID: I20210528000031 |
| Provider Name | Brandi Hrasdzira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972195105 PECOS PAC ID: 1254572746 Enrollment ID: I20210611001424 |
| Provider Name | Sameera Rasheed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659752020 PECOS PAC ID: 0840529434 Enrollment ID: I20210614000091 |
| Provider Name | Chelsea Nicole Romero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710495403 PECOS PAC ID: 7315347044 Enrollment ID: I20210616002829 |
| Provider Name | Brandi Ann Brittain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023692670 PECOS PAC ID: 5193126506 Enrollment ID: I20210623000888 |
| Provider Name | Tracee J Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376114959 PECOS PAC ID: 4688077340 Enrollment ID: I20210720000177 |
| Provider Name | Allison Hulett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346814431 PECOS PAC ID: 8921402595 Enrollment ID: I20210804000012 |
| Provider Name | Danny Vining |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306175138 PECOS PAC ID: 9032233747 Enrollment ID: I20210810000927 |
| Provider Name | Hai Dinh Trinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295336782 PECOS PAC ID: 3779987771 Enrollment ID: I20210813000175 |
| Provider Name | Daniel Gerard Jemison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699296509 PECOS PAC ID: 4486911617 Enrollment ID: I20210816002625 |
| Provider Name | Doris Okoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033733027 PECOS PAC ID: 8729493952 Enrollment ID: I20210826002036 |
| Provider Name | Sylvia A Otieno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043802952 PECOS PAC ID: 4082010012 Enrollment ID: I20210831000864 |
| Provider Name | Christine Luise Freeburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558969485 PECOS PAC ID: 3476959362 Enrollment ID: I20210831003903 |
| Provider Name | Min Suk Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821504416 PECOS PAC ID: 0941606297 Enrollment ID: I20210911000172 |
| Provider Name | Lauren Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922539428 PECOS PAC ID: 2961809207 Enrollment ID: I20210929000716 |
| Provider Name | Mary Louise Hosch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174508899 PECOS PAC ID: 5991103681 Enrollment ID: I20211011001877 |
| Provider Name | Caroline Bang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639840572 PECOS PAC ID: 1254720790 Enrollment ID: I20211122002995 |
| Provider Name | Alexcis Grushinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609340512 PECOS PAC ID: 9931599362 Enrollment ID: I20211129001974 |
| Provider Name | Melanie Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649831298 PECOS PAC ID: 5597155788 Enrollment ID: I20211202000206 |
| Provider Name | Nathan Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053083865 PECOS PAC ID: 8022409697 Enrollment ID: I20211216000264 |
| Provider Name | Luisa Angeles Collins Villares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952947863 PECOS PAC ID: 0244623429 Enrollment ID: I20220210002661 |
| Provider Name | Sayed Aamir Raza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699785188 PECOS PAC ID: 2264439447 Enrollment ID: I20220316000027 |
| Provider Name | Thomas Michael Hageman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780290106 PECOS PAC ID: 0941695571 Enrollment ID: I20220317002867 |
| Provider Name | Kathryn Margaret Granados |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023762812 PECOS PAC ID: 3779979182 Enrollment ID: I20220412002642 |
| Provider Name | Mary Temitope Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861971897 PECOS PAC ID: 2769879972 Enrollment ID: I20220418001484 |
| Provider Name | Amanda Lillian Meltzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104951144 PECOS PAC ID: 2769650142 Enrollment ID: I20220421000796 |
| Provider Name | Mona Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043828544 PECOS PAC ID: 6709205214 Enrollment ID: I20220519000212 |
| Provider Name | Ahmed A Montaser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255714390 PECOS PAC ID: 2163848086 Enrollment ID: I20220519001968 |
| Provider Name | Shaniqua Miles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710596804 PECOS PAC ID: 5092128389 Enrollment ID: I20220527000643 |
| Provider Name | Aju Varghese Alex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215490693 PECOS PAC ID: 7012250871 Enrollment ID: I20220609000358 |
| Provider Name | Kyung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053072355 PECOS PAC ID: 5597143040 Enrollment ID: I20220613000585 |
| Provider Name | Morgan Jean Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609521855 PECOS PAC ID: 8921487679 Enrollment ID: I20220627001005 |
| Provider Name | Rahab Nyaruiru Mbugua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285198911 PECOS PAC ID: 5395124994 Enrollment ID: I20220628000048 |
| Provider Name | Bilal Jilani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023508587 PECOS PAC ID: 4688920184 Enrollment ID: I20220628003621 |
| Provider Name | Luis Javier Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780286260 PECOS PAC ID: 4183004732 Enrollment ID: I20220629001993 |
| Provider Name | Jaishree Raghavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295489607 PECOS PAC ID: 7315327681 Enrollment ID: I20220704000317 |
| Provider Name | Sussana Etarock Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215516992 PECOS PAC ID: 1658751763 Enrollment ID: I20220707001423 |
| Provider Name | Kimberly Irene Vance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013660802 PECOS PAC ID: 6103206180 Enrollment ID: I20220708000016 |
| Provider Name | Donald Laurier Payette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174806046 PECOS PAC ID: 2961653043 Enrollment ID: I20220712000355 |
| Provider Name | Bejoy John |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619285442 PECOS PAC ID: 4587881313 Enrollment ID: I20220713000801 |
| Provider Name | Asadullah Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316923436 PECOS PAC ID: 1153405196 Enrollment ID: I20220713001563 |
| Provider Name | Victoria Ochuwa Walter-etoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376278762 PECOS PAC ID: 8426431693 Enrollment ID: I20220822000413 |
| Provider Name | Amanda-rose Sophia Deligiannis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710529813 PECOS PAC ID: 0941684880 Enrollment ID: I20220826001119 |
| Provider Name | Yi Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831696863 PECOS PAC ID: 2961750575 Enrollment ID: I20220922002814 |
| Provider Name | Katherine Ann Breen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427638311 PECOS PAC ID: 8224414347 Enrollment ID: I20220927002872 |
| Provider Name | Melissa Christine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982955969 PECOS PAC ID: 9133505266 Enrollment ID: I20220927003349 |
| Provider Name | Gabrielle Flora Renee Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548905318 PECOS PAC ID: 8729464532 Enrollment ID: I20221003000576 |
| Provider Name | Christi Michele Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194908970 PECOS PAC ID: 6709945652 Enrollment ID: I20221017001288 |
| Provider Name | Kenneth Travis Sabourin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770088221 PECOS PAC ID: 8628326733 Enrollment ID: I20221018000262 |
| Provider Name | Patricia Santillana Hutchinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245961531 PECOS PAC ID: 9739555210 Enrollment ID: I20221025002215 |
| Provider Name | Shannon Michelle Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538542147 PECOS PAC ID: 7810364023 Enrollment ID: I20221101000937 |
| Provider Name | Nadine Efeti Ndip |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467175844 PECOS PAC ID: 5799152815 Enrollment ID: I20221102002875 |
| Provider Name | Amber Lynn Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346967759 PECOS PAC ID: 7012384548 Enrollment ID: I20221111002307 |
| Provider Name | Diane M Orrico |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184608630 PECOS PAC ID: 5698143485 Enrollment ID: I20221129001905 |
| Provider Name | Carissa Toviessi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184190928 PECOS PAC ID: 0749659324 Enrollment ID: I20221205001417 |
| Provider Name | Clifford Charles Cantu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467162149 PECOS PAC ID: 5698145332 Enrollment ID: I20221221002159 |
| Provider Name | Angela Njideka Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053022186 PECOS PAC ID: 2365812468 Enrollment ID: I20230106000718 |
| Provider Name | Meron Tibebu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073065215 PECOS PAC ID: 0042565756 Enrollment ID: I20230113000010 |
| Provider Name | Jennifer Rose Chamberlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528770575 PECOS PAC ID: 3072984798 Enrollment ID: I20230117001562 |
| Provider Name | Lacey M Dembicki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972240406 PECOS PAC ID: 0840661344 Enrollment ID: I20230119003095 |
| Provider Name | Geoffrey Clark Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942711825 PECOS PAC ID: 8123491917 Enrollment ID: I20230225000127 |
| Provider Name | Demetra Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548906530 PECOS PAC ID: 8224418173 Enrollment ID: I20230302000408 |
| Provider Name | Emily Katherine Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639881485 PECOS PAC ID: 7113390683 Enrollment ID: I20230302003107 |
| Provider Name | Samantha Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578803383 PECOS PAC ID: 8921473026 Enrollment ID: I20230403001477 |
| Provider Name | Danielle Elana Rott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720281561 PECOS PAC ID: 3173998283 Enrollment ID: I20230403001696 |
| Provider Name | Karin Nelson Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750425898 PECOS PAC ID: 7618065467 Enrollment ID: I20230411000909 |
| Provider Name | Geraldine Beard-chaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649977463 PECOS PAC ID: 0042675142 Enrollment ID: I20230425000711 |
| Provider Name | Layth Kawther Hakim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386783785 PECOS PAC ID: 9032243365 Enrollment ID: I20230504001033 |
| Provider Name | Sarah Ellen Erickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538855689 PECOS PAC ID: 0446615967 Enrollment ID: I20230504002272 |
| Provider Name | Ernest Spiotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20230504003220 |
| Provider Name | Heather Lynn Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073228508 PECOS PAC ID: 1153787346 Enrollment ID: I20230512001671 |
| Provider Name | Cindy Lee Cassell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548603699 PECOS PAC ID: 0244696847 Enrollment ID: I20230524002940 |
| Provider Name | Joseph Zayas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699429035 PECOS PAC ID: 9931567534 Enrollment ID: I20230614000107 |
| Provider Name | Michelle La Spata |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174109276 PECOS PAC ID: 2466810007 Enrollment ID: I20230614001531 |
| Provider Name | Mallori Weaver Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104589183 PECOS PAC ID: 5890153829 Enrollment ID: I20230622002136 |
| Provider Name | Abbey Catherine Shultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205511623 PECOS PAC ID: 6507226743 Enrollment ID: I20230719001374 |
| Provider Name | Corey Spence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295296812 PECOS PAC ID: 0648630822 Enrollment ID: I20230719003034 |
| Provider Name | Erin Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427585231 PECOS PAC ID: 3375812563 Enrollment ID: I20230721000003 |
| Provider Name | Crystal Renee Montoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851075048 PECOS PAC ID: 1153781182 Enrollment ID: I20230721001222 |
| Provider Name | Jordan Taylor Dickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831818822 PECOS PAC ID: 2466813480 Enrollment ID: I20230807001552 |
| Provider Name | Sabeen Faris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952682650 PECOS PAC ID: 3678791407 Enrollment ID: I20230825000272 |
| Provider Name | Janelle Gillis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184106502 PECOS PAC ID: 3779940465 Enrollment ID: I20230913000023 |
| Provider Name | Keiera Buckles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639952708 PECOS PAC ID: 2769846120 Enrollment ID: I20230919000110 |
| Provider Name | Carli Makenzie Mareth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629784285 PECOS PAC ID: 5193179224 Enrollment ID: I20230923000146 |
| Provider Name | Ian Woodwick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114689767 PECOS PAC ID: 1850745720 Enrollment ID: I20230926002682 |
| Provider Name | Kami Garver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588208490 PECOS PAC ID: 4688029002 Enrollment ID: I20231004003379 |
| Provider Name | Michelle Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760680730 PECOS PAC ID: 0446538375 Enrollment ID: I20231005000001 |
| Provider Name | Sydney Nanyamka Dean-jessie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245713189 PECOS PAC ID: 9234584392 Enrollment ID: I20231009003402 |
| Provider Name | Pamela J Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336847177 PECOS PAC ID: 4789039777 Enrollment ID: I20231011001917 |
| Provider Name | Jordan Elizabeth Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538845755 PECOS PAC ID: 5991150906 Enrollment ID: I20231011002825 |
| Provider Name | Christina Shephard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164110896 PECOS PAC ID: 1153777008 Enrollment ID: I20231027003216 |
| Provider Name | Shanila Shagufta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124513270 PECOS PAC ID: 2961808027 Enrollment ID: I20231102001949 |
| Provider Name | Christine Wielgos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114278157 PECOS PAC ID: 3375916596 Enrollment ID: I20231111000102 |
| Provider Name | Raven Lea Aleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578264479 PECOS PAC ID: 3375990336 Enrollment ID: I20231113002025 |
| Provider Name | Sarah Jewel Ratcliff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952903338 PECOS PAC ID: 5193173656 Enrollment ID: I20231122002215 |
| Provider Name | Debbie R Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750721569 PECOS PAC ID: 4284082686 Enrollment ID: I20231124000456 |
| Provider Name | Omar A Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699235952 PECOS PAC ID: 1658609615 Enrollment ID: I20231127000552 |
| Provider Name | Chizelle Onochie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750841409 PECOS PAC ID: 1052647872 Enrollment ID: I20231202000445 |
| Provider Name | Kristi K Tanaka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033350251 PECOS PAC ID: 9133578917 Enrollment ID: I20231206001596 |
| Provider Name | Jerrie Muehr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518017573 PECOS PAC ID: 5092164319 Enrollment ID: I20231212003669 |
| Provider Name | Mary Njeri Nganga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528774031 PECOS PAC ID: 4082064373 Enrollment ID: I20231228003266 |
| Provider Name | Joy Alexandria Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871127795 PECOS PAC ID: 0547611733 Enrollment ID: I20240112000314 |
| Provider Name | Maricela Galindo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164715280 PECOS PAC ID: 0749632594 Enrollment ID: I20240117004432 |
| Provider Name | Sierra Monique Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578182663 PECOS PAC ID: 0840642427 Enrollment ID: I20240118004270 |
| Provider Name | William Alexander Gore |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316690324 PECOS PAC ID: 2769834225 Enrollment ID: I20240119002730 |
| Provider Name | Krista Delaney Mckelvin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578636015 PECOS PAC ID: 6305298811 Enrollment ID: I20240120000311 |
| Provider Name | Rolla Merle Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063765246 PECOS PAC ID: 5496107823 Enrollment ID: I20240122000787 |
| Provider Name | Vanessa Lorant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639881063 PECOS PAC ID: 7517310618 Enrollment ID: I20240124004906 |
| Provider Name | Holly Kristina Franke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689293623 PECOS PAC ID: 5496108524 Enrollment ID: I20240125000784 |
| Provider Name | Ronald Lamoine Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275179152 PECOS PAC ID: 4688027394 Enrollment ID: I20240130000994 |
| Provider Name | Alicia Marie Madeksho |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679976773 PECOS PAC ID: 9830542240 Enrollment ID: I20240201000166 |
| Provider Name | Antoine Gross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053091041 PECOS PAC ID: 6709239064 Enrollment ID: I20240202001040 |
| Provider Name | Christopher Hooker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174844559 PECOS PAC ID: 2567805807 Enrollment ID: I20240203000239 |
| Provider Name | Shari Marie Elliott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023376340 PECOS PAC ID: 1052754231 Enrollment ID: I20240205001463 |
| Provider Name | Hanna Camille Himmel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306415302 PECOS PAC ID: 8022460310 Enrollment ID: I20240205003847 |
| Provider Name | Brittany Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912530205 PECOS PAC ID: 8921441197 Enrollment ID: I20240206000058 |
| Provider Name | Tyler Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336892942 PECOS PAC ID: 0042653073 Enrollment ID: I20240207000938 |
| Provider Name | Britanie Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871142539 PECOS PAC ID: 4688035827 Enrollment ID: I20240207001773 |
| Provider Name | Kelly Erin Nowotny |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740420298 PECOS PAC ID: 8527401488 Enrollment ID: I20240207002266 |
| Provider Name | William John Kao |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699238915 PECOS PAC ID: 2466895321 Enrollment ID: I20240207002511 |
| Provider Name | Katherine Bielik |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841600822 PECOS PAC ID: 8628420486 Enrollment ID: I20240207003511 |
| Provider Name | Andrea Jameson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487396818 PECOS PAC ID: 4688017213 Enrollment ID: I20240209003109 |
| Provider Name | Jason Eugene Duckworth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043677735 PECOS PAC ID: 9830532266 Enrollment ID: I20240213001045 |
| Provider Name | Jaron Paul Hataway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003225889 PECOS PAC ID: 3779927041 Enrollment ID: I20240215000822 |
| Provider Name | Sylvia Trevino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811448400 PECOS PAC ID: 8820432008 Enrollment ID: I20240215001674 |
| Provider Name | Tina Marie Berryman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396414470 PECOS PAC ID: 9830533710 Enrollment ID: I20240219003133 |
| Provider Name | Kyla Mione |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205608593 PECOS PAC ID: 7517301435 Enrollment ID: I20240220000791 |
| Provider Name | Sarah Foster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932570850 PECOS PAC ID: 2264876002 Enrollment ID: I20240220001811 |
| Provider Name | Diara Solite |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861906984 PECOS PAC ID: 5597109371 Enrollment ID: I20240220003590 |
| Provider Name | Shannon Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831787332 PECOS PAC ID: 3971947771 Enrollment ID: I20240220004304 |
| Provider Name | Kimberly Milliken |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831755719 PECOS PAC ID: 1850735663 Enrollment ID: I20240220004450 |
| Provider Name | Madiha Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437543907 PECOS PAC ID: 0143539981 Enrollment ID: I20240221000062 |
| Provider Name | Katodra Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184844763 PECOS PAC ID: 4789028275 Enrollment ID: I20240223001497 |
| Provider Name | Nancy Jean Wischmeier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396525614 PECOS PAC ID: 1557706934 Enrollment ID: I20240226000318 |
| Provider Name | Katherine Elizabeth Keeney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144941014 PECOS PAC ID: 2062857543 Enrollment ID: I20240227000503 |
| Provider Name | Sandra Yvonne Alaniz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316378086 PECOS PAC ID: 4082064274 Enrollment ID: I20240227000877 |
| Provider Name | Alicia Renee Green - Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275701096 PECOS PAC ID: 1557706777 Enrollment ID: I20240228000242 |
| Provider Name | Stephen Wade Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619412665 PECOS PAC ID: 9032554118 Enrollment ID: I20240228002755 |
| Provider Name | Parkashdeep Kaur Sandhu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598047482 PECOS PAC ID: 0648615641 Enrollment ID: I20240229002357 |
| Provider Name | Nicole Marie Muirhead Jimenez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881199099 PECOS PAC ID: 2163867094 Enrollment ID: I20240229003670 |
| Provider Name | Joyce Marie Jeane-latiolais |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134361660 PECOS PAC ID: 7719322650 Enrollment ID: I20240229004043 |
| Provider Name | Tiffany Lynn Owen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649033663 PECOS PAC ID: 9335584283 Enrollment ID: I20240229004544 |
| Provider Name | Tiffany Latrice Morish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588219133 PECOS PAC ID: 7315382009 Enrollment ID: I20240304003985 |
| Provider Name | Lynnie Elsie Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689617607 PECOS PAC ID: 7911342613 Enrollment ID: I20240305000319 |
| Provider Name | Adrianna White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356711626 PECOS PAC ID: 6204271844 Enrollment ID: I20240305001893 |
| Provider Name | Heather Caroline Weemes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851152367 PECOS PAC ID: 1850736448 Enrollment ID: I20240305003905 |
| Provider Name | Ryan Leigh Pope |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982391561 PECOS PAC ID: 1557707163 Enrollment ID: I20240306000184 |
| Provider Name | Scheena Shirika Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467110486 PECOS PAC ID: 8325484785 Enrollment ID: I20240308000358 |
| Provider Name | John Martin Hurst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932287190 PECOS PAC ID: 0042656092 Enrollment ID: I20240312003797 |
| Provider Name | David A. Schroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801072327 PECOS PAC ID: 4587966536 Enrollment ID: I20240313000775 |
| Provider Name | Mary Ruth Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205820115 PECOS PAC ID: 7810333713 Enrollment ID: I20240314000791 |
| Provider Name | Madeline Flores |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770287187 PECOS PAC ID: 7719323427 Enrollment ID: I20240315001143 |
Wendy Morua, Ph.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 E Winding Way Dr Ste E, Friendswood, TX 77546 Phone: 281-993-8040 Fax: 281-816-5526 | |
Sara Walls Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 S Friendswood Dr Ste B3, Friendswood, TX 77546 Phone: 281-747-6034 | |
Dyana Robbins Professional Limited Liability Company Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1506 E Winding Way Dr Ste 521, Friendswood, TX 77546 Phone: 832-998-4679 | |
Auspice Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 S Friendswood Dr Ste E2, Friendswood, TX 77546 Phone: 832-855-0861 | |
Julie C Gibson Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Shadwell Way Ste 107, Friendswood, TX 77546 Phone: 713-857-9875 | |
Family Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 E Parkwood Ave, Friendswood, TX 77546 Phone: 281-400-3301 Fax: 281-400-3307 | |
Bay Pointe Behavioral Health Service, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1560 W Bay Area Blvd, Suite 110, Friendswood, TX 77546 Phone: 281-480-2400 Fax: 281-480-2400 |