| Room For Change | |
|
3256 Southern Dr Ste 461 Garland TX 75043-1533 | |
| (940) 230-3381 | |
| Not Available |
| Full Name | Room For Change |
|---|---|
| Speciality | Counselor |
| Location | 3256 Southern Dr Ste 461, Garland, Texas |
| Authorized Official Name and Position | Amanda Esquivel (OWNER, CLINICIAN) |
| Authorized Official Contact | 9402303381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Room For Change 3256 Southern Dr Ste 461 Garland TX 75043-1533 Ph: (940) 230-3381 | Room For Change 3256 Southern Dr Ste 461 Garland TX 75043-1533 Ph: (940) 230-3381 |
| NPI Number | 1225535644 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 04/11/2018 |
| Medicare PECOS PAC ID | 2365894284 |
|---|---|
| Medicare Enrollment ID | O20240116004483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225535644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Amanda Esquivel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386064731 PECOS PAC ID: 3971958109 Enrollment ID: I20240116004601 |
| Provider Name | Eric Buhrfeind |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447911458 PECOS PAC ID: 9234650565 Enrollment ID: I20250304000459 |
| Provider Name | Kylie Ball |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043849003 PECOS PAC ID: 4486175726 Enrollment ID: I20250304000615 |
| Provider Name | Sarah Jayne Stillwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285146035 PECOS PAC ID: 1456872712 Enrollment ID: I20250304001373 |
| Provider Name | Rebecca Pearson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518514033 PECOS PAC ID: 2961923131 Enrollment ID: I20250304001886 |
| Provider Name | Alexandra Eleanor Jodaitis-rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881171817 PECOS PAC ID: 4587185624 Enrollment ID: I20250305003831 |
| Provider Name | Patrick Brian Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427640168 PECOS PAC ID: 2769903772 Enrollment ID: I20250306002469 |
| Provider Name | Hilary Joyce Labac |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720576408 PECOS PAC ID: 8820519762 Enrollment ID: I20250307000197 |
| Provider Name | Megan Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043075336 PECOS PAC ID: 0840711792 Enrollment ID: I20250307000536 |
| Provider Name | Erin Crandall Payne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477807030 PECOS PAC ID: 3476074337 Enrollment ID: I20250307000867 |
| Provider Name | Naomi Eve Cruz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982235545 PECOS PAC ID: 2062933997 Enrollment ID: I20250307003408 |
| Provider Name | Lindsey Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790445492 PECOS PAC ID: 3779004510 Enrollment ID: I20250310000568 |
| Provider Name | Marlaina Mueller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417585738 PECOS PAC ID: 7113448994 Enrollment ID: I20250310001469 |
| Provider Name | Dan C Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205598695 PECOS PAC ID: 8527589340 Enrollment ID: I20250310002532 |
| Provider Name | Justin Terin Dion |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275297897 PECOS PAC ID: 4880115526 Enrollment ID: I20250310003402 |
| Provider Name | Ana L Hernandez Arias |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346653524 PECOS PAC ID: 4284155797 Enrollment ID: I20250312002293 |
| Provider Name | Rebecca Madison Seawright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053074989 PECOS PAC ID: 6204357734 Enrollment ID: I20250312003262 |
| Provider Name | Zachary Read |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699538298 PECOS PAC ID: 8527580612 Enrollment ID: I20250318002823 |
| Provider Name | Kristen Kettler Charron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750738134 PECOS PAC ID: 2365964400 Enrollment ID: I20250319000523 |
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