| Spindletop Mhmr Services | |
|
2750 S 8th St Beaumont TX 77701-7719 | |
| (409) 839-1000 | |
| (409) 839-1066 |
| Full Name | Spindletop Mhmr Services |
|---|---|
| Speciality | Family Medicine |
| Location | 2750 S 8th St, Beaumont, Texas |
| Authorized Official Name and Position | Annie J Smith (REIMBURSEMENT MANAGER) |
| Authorized Official Contact | 4098391009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spindletop Mhmr Services 2750 S 8th St P O Box 3846 Beaumont TX 77701-7719 Ph: (409) 839-1000 | Spindletop Mhmr Services 2750 S 8th St Beaumont TX 77701-7719 Ph: (409) 839-1000 |
| NPI Number | 1952357550 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/05/2022 |
| Medicare PECOS PAC ID | 1658268321 |
|---|---|
| Medicare Enrollment ID | O20040228000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952357550 | NPI | - | NPPES |
| Provider Name | Marsha K Wheatley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679683122 PECOS PAC ID: 8022906700 Enrollment ID: I20040304001366 |
| Provider Name | Arif M Shoaib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407838394 PECOS PAC ID: 1850374695 Enrollment ID: I20040611000394 |
| Provider Name | Sharadamani Anandan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750490991 PECOS PAC ID: 0446236129 Enrollment ID: I20040624001112 |
| Provider Name | Murali Veeramachaneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851374367 PECOS PAC ID: 8729041777 Enrollment ID: I20041110000497 |
| Provider Name | Lera Susan Kasseroler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821032665 PECOS PAC ID: 8820038730 Enrollment ID: I20050510001144 |
| Provider Name | Lisa S Perdue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760468763 PECOS PAC ID: 0345267324 Enrollment ID: I20051028000547 |
| Provider Name | Michael A Fuller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922054725 PECOS PAC ID: 8921004516 Enrollment ID: I20061004000256 |
| Provider Name | Mark Bradley Morman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306955398 PECOS PAC ID: 1850392374 Enrollment ID: I20070126000249 |
| Provider Name | Andrew H Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356434146 PECOS PAC ID: 7810083177 Enrollment ID: I20071017000759 |
| Provider Name | Roddy M Strobel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669473112 PECOS PAC ID: 8527156686 Enrollment ID: I20071127000127 |
| Provider Name | Tracie M Dejarnette Holly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699786681 PECOS PAC ID: 5890790109 Enrollment ID: I20080227000401 |
| Provider Name | David E O Connor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699798595 PECOS PAC ID: 1456240472 Enrollment ID: I20080327000360 |
| Provider Name | Preeti Sodhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033268065 PECOS PAC ID: 7113089152 Enrollment ID: I20081229000377 |
| Provider Name | Keith William Caramelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538211941 PECOS PAC ID: 6204973886 Enrollment ID: I20091030000409 |
| Provider Name | Robin E Hostetter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003972829 PECOS PAC ID: 1355499260 Enrollment ID: I20091130000070 |
| Provider Name | Ziba Rezaee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902066236 PECOS PAC ID: 5092983908 Enrollment ID: I20110720000553 |
| Provider Name | Alisha E King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023299377 PECOS PAC ID: 7517137060 Enrollment ID: I20110819000343 |
| Provider Name | Nakita M Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992950463 PECOS PAC ID: 0941466510 Enrollment ID: I20120725001129 |
| Provider Name | Justin James Parrott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053677179 PECOS PAC ID: 5597921924 Enrollment ID: I20120730000285 |
| Provider Name | Patricia H Vanwinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861778755 PECOS PAC ID: 4587811229 Enrollment ID: I20120830000769 |
| Provider Name | Kathy J Hickman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689738643 PECOS PAC ID: 9830346576 Enrollment ID: I20120830000781 |
| Provider Name | Roger G Joe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578755070 PECOS PAC ID: 6103090683 Enrollment ID: I20121001000431 |
| Provider Name | Sadiat K Olatunbosun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407017759 PECOS PAC ID: 5395994404 Enrollment ID: I20121005000043 |
| Provider Name | Sandra L French |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1700946696 PECOS PAC ID: 8921009333 Enrollment ID: I20121102000121 |
| Provider Name | Johnes B Monyoncho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427301597 PECOS PAC ID: 4587815048 Enrollment ID: I20121108000620 |
| Provider Name | Darice M Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043479892 PECOS PAC ID: 0042453607 Enrollment ID: I20130829000271 |
| Provider Name | Kellye Singletary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063433324 PECOS PAC ID: 5698918480 Enrollment ID: I20130829000722 |
| Provider Name | Laura V Settlage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750726345 PECOS PAC ID: 5496999534 Enrollment ID: I20130911000688 |
| Provider Name | Tho V Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104104207 PECOS PAC ID: 7012151186 Enrollment ID: I20130912000176 |
| Provider Name | Mark Schuchman |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20131104001245 |
| Provider Name | Natalia S Albright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023446457 PECOS PAC ID: 5890921928 Enrollment ID: I20131120001495 |
| Provider Name | Naim A Memon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972605152 PECOS PAC ID: 8628058823 Enrollment ID: I20131213000013 |
| Provider Name | Seema S Varghees |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568625044 PECOS PAC ID: 5193953313 Enrollment ID: I20140116000155 |
| Provider Name | Olumuyiwa Abdul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285898940 PECOS PAC ID: 2264600345 Enrollment ID: I20140314001439 |
| Provider Name | Kelly Sparkman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972934313 PECOS PAC ID: 6901020346 Enrollment ID: I20140605000330 |
| Provider Name | Linzi E Leighton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962747238 PECOS PAC ID: 0446476816 Enrollment ID: I20140721000250 |
| Provider Name | Victor G Stiebel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164423364 PECOS PAC ID: 7719889278 Enrollment ID: I20140811000605 |
| Provider Name | Gollavelli Krishna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871754036 PECOS PAC ID: 5092779223 Enrollment ID: I20141018000097 |
| Provider Name | Deana G Abdel-reheim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467696591 PECOS PAC ID: 7315169984 Enrollment ID: I20141114001510 |
| Provider Name | Theresa D Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144576414 PECOS PAC ID: 7214253962 Enrollment ID: I20150224001338 |
| Provider Name | Munira Jiwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538558549 PECOS PAC ID: 6406172170 Enrollment ID: I20150225000139 |
| Provider Name | Natalia Kazakevich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447570999 PECOS PAC ID: 6608180542 Enrollment ID: I20150805008027 |
| Provider Name | Stephanie V Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215297221 PECOS PAC ID: 0042526683 Enrollment ID: I20150827002465 |
| Provider Name | Ashutosh Atri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215294004 PECOS PAC ID: 2668638693 Enrollment ID: I20150929002661 |
| Provider Name | Ronald St Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316032147 PECOS PAC ID: 0648201822 Enrollment ID: I20151001001342 |
| Provider Name | John Kenny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750449732 PECOS PAC ID: 9739102716 Enrollment ID: I20151217000691 |
| Provider Name | Anandkumar B Panchal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629453303 PECOS PAC ID: 7810291408 Enrollment ID: I20160202000337 |
| Provider Name | Nitin M Kamble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811214737 PECOS PAC ID: 9436456142 Enrollment ID: I20160323002558 |
| Provider Name | Nicolas D Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023243995 PECOS PAC ID: 9032387576 Enrollment ID: I20160330001073 |
| Provider Name | Ellen Chiao Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295026326 PECOS PAC ID: 9739486952 Enrollment ID: I20160401000780 |
| Provider Name | Duncan Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043684897 PECOS PAC ID: 5991002289 Enrollment ID: I20160407000557 |
| Provider Name | Chidinma E Isinguzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558640094 PECOS PAC ID: 6406157007 Enrollment ID: I20160818001313 |
| Provider Name | Lori L Bougere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689059057 PECOS PAC ID: 2264728955 Enrollment ID: I20160906002428 |
| Provider Name | Sandra Yaklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073068870 PECOS PAC ID: 6608155965 Enrollment ID: I20161109002629 |
| Provider Name | Biren P Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932543311 PECOS PAC ID: 8729368477 Enrollment ID: I20161215000175 |
| Provider Name | Rachel Leidner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770879553 PECOS PAC ID: 8921301888 Enrollment ID: I20161220000338 |
| Provider Name | Rene Melendez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215139597 PECOS PAC ID: 0547294159 Enrollment ID: I20170126000721 |
| Provider Name | Lauren S Douglas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700147923 PECOS PAC ID: 8921375106 Enrollment ID: I20170518000071 |
| Provider Name | Jessica C Reuben |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083974992 PECOS PAC ID: 9537441654 Enrollment ID: I20170717001292 |
| Provider Name | Alicia A Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861915266 PECOS PAC ID: 0941573588 Enrollment ID: I20170905000037 |
| Provider Name | Joshua D Lord |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255751376 PECOS PAC ID: 4486928439 Enrollment ID: I20170914002939 |
| Provider Name | Lindsey F Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881117208 PECOS PAC ID: 0042584591 Enrollment ID: I20170921001529 |
| Provider Name | Lauren James |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164872107 PECOS PAC ID: 2264712736 Enrollment ID: I20171012001406 |
| Provider Name | Jorge A Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205379674 PECOS PAC ID: 4385910074 Enrollment ID: I20171025000215 |
| Provider Name | Marguerite M Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891186789 PECOS PAC ID: 7719244797 Enrollment ID: I20171129001710 |
| Provider Name | Nkem Nwaobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659897130 PECOS PAC ID: 1355601238 Enrollment ID: I20180214002652 |
| Provider Name | Jennifer C Schaefer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750782215 PECOS PAC ID: 0941508139 Enrollment ID: I20180702001323 |
| Provider Name | Kevin Mark Correia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194718650 PECOS PAC ID: 7012265960 Enrollment ID: I20180808003227 |
| Provider Name | Irene Ifeyinwa Uke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720433865 PECOS PAC ID: 1850312265 Enrollment ID: I20190129002653 |
| Provider Name | Osarugue S Etinfoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609332311 PECOS PAC ID: 7618205824 Enrollment ID: I20190827000961 |
| Provider Name | Grace Kang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528563574 PECOS PAC ID: 2365799723 Enrollment ID: I20200403001665 |
| Provider Name | Anita L Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447605266 PECOS PAC ID: 4880941905 Enrollment ID: I20200424000981 |
| Provider Name | Stacen J Velvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285124743 PECOS PAC ID: 8729335120 Enrollment ID: I20200601000022 |
| Provider Name | Scott J Tlanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720440431 PECOS PAC ID: 6507283793 Enrollment ID: I20200902002186 |
| Provider Name | Transon Vu Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326542499 PECOS PAC ID: 5890042360 Enrollment ID: I20201014001144 |
| Provider Name | Karen Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043717093 PECOS PAC ID: 9739435397 Enrollment ID: I20201113000612 |
| Provider Name | Cristina Sanchez Jaquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447448659 PECOS PAC ID: 4385807759 Enrollment ID: I20210119000910 |
| Provider Name | Tabitha N Trapasso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952835795 PECOS PAC ID: 1557630357 Enrollment ID: I20210630001042 |
| Provider Name | Adenike Anuoluwapo Okuneye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699150888 PECOS PAC ID: 0749441541 Enrollment ID: I20220427001804 |
| Provider Name | Jesse Kyle Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508391236 PECOS PAC ID: 7810246139 Enrollment ID: I20220504001030 |
| Provider Name | Ashley Nichole Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851053565 PECOS PAC ID: 3870974082 Enrollment ID: I20220719003858 |
| Provider Name | Alisha K Prevost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356951149 PECOS PAC ID: 9537545421 Enrollment ID: I20220929002313 |
| Provider Name | Ayotomide E Oyelakin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518481498 PECOS PAC ID: 9830509884 Enrollment ID: I20221013002099 |
| Provider Name | Don Lashoni Cowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770742371 PECOS PAC ID: 8426429671 Enrollment ID: I20230125002985 |
| Provider Name | Tonya N Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700590353 PECOS PAC ID: 7214309699 Enrollment ID: I20230213000772 |
| Provider Name | Walter Schmalstieg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740209683 PECOS PAC ID: 7618016262 Enrollment ID: I20230508000666 |
| Provider Name | Eugenia R Poindexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164113692 PECOS PAC ID: 2365806692 Enrollment ID: I20230919003669 |
| Provider Name | B'anna J Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164132726 PECOS PAC ID: 5991153074 Enrollment ID: I20231130000635 |
| Provider Name | Linda C Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891383816 PECOS PAC ID: 8426406513 Enrollment ID: I20231130000676 |
| Provider Name | Shan T Guillory |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902302003 PECOS PAC ID: 9436507241 Enrollment ID: I20231204002324 |
| Provider Name | Tommy Lee Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720798903 PECOS PAC ID: 8921457086 Enrollment ID: I20231214001074 |
| Provider Name | Krystal M Laday |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831736198 PECOS PAC ID: 7810346855 Enrollment ID: I20231215000712 |
| Provider Name | Hana B Mekonnen-sithole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114453818 PECOS PAC ID: 6800246489 Enrollment ID: I20231221003648 |
| Provider Name | Leah N Vernia-amend |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598109746 PECOS PAC ID: 5597115857 Enrollment ID: I20231228002175 |
| Provider Name | Stephen E Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134866858 PECOS PAC ID: 2769834928 Enrollment ID: I20240123004525 |
| Provider Name | Lori A Yates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871228221 PECOS PAC ID: 8628420882 Enrollment ID: I20240123004679 |
| Provider Name | Janet E Lawrence |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265851554 PECOS PAC ID: 3072965235 Enrollment ID: I20240123004733 |
| Provider Name | Daphne D Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578079455 PECOS PAC ID: 1254782121 Enrollment ID: I20240201002218 |
| Provider Name | Emily C Ross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760634430 PECOS PAC ID: 4385087634 Enrollment ID: I20240204000097 |
| Provider Name | Gloria A Cooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255652624 PECOS PAC ID: 5092158360 Enrollment ID: I20240205000883 |
| Provider Name | Kimberly Ann Loftis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659971646 PECOS PAC ID: 6406299163 Enrollment ID: I20240209000544 |
| Provider Name | Amber M Woods |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477179539 PECOS PAC ID: 7719326669 Enrollment ID: I20240411004245 |
| Provider Name | Obetta J Milo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700382405 PECOS PAC ID: 7810432226 Enrollment ID: I20240710001606 |
| Provider Name | Gynises N Spencer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306578265 PECOS PAC ID: 5294270625 Enrollment ID: I20240710002428 |
| Provider Name | Le'toria P Trahan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114757481 PECOS PAC ID: 5193263358 Enrollment ID: I20240819003225 |
| Provider Name | Allison P Moore-ruiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598596306 PECOS PAC ID: 5991236077 Enrollment ID: I20240930003057 |
| Provider Name | Melba T Hilliard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790330215 PECOS PAC ID: 6507392768 Enrollment ID: I20241211001430 |
| Provider Name | Derek P Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003621525 PECOS PAC ID: 6002336179 Enrollment ID: I20250219001915 |
Winnie Community Hospital Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St Ste 502, Beaumont, TX 77706 Phone: 409-899-4472 Fax: 409-899-9795 | |
Beaumont Psychological Services Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St, Suite107, Beaumont, TX 77706 Phone: 409-899-3244 Fax: 409-898-3153 | |
Mg Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Calder Ave, Beaumont, TX 77701 Phone: 936-247-3525 | |
Renewpath Community Support Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7710 Highway 105, 712, Beaumont, TX 77713 Phone: 804-502-0620 | |
Family Services Of Southeast Texas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 990 Interstate 10 N, Suite 140, Beaumont, TX 77702 Phone: 409-833-2668 Fax: 409-899-9362 | |
Richard L Shorkey Education & Rehabilitation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 S 8th St, Beaumont, TX 77701 Phone: 409-838-6568 Fax: 409-838-1337 | |
Synergy Cubed Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Louisiana St, Beaumont, TX 77702 Phone: 409-673-3234 |