TEQUILA BRIDGES (NPI# 1023100369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023100369 |
| Entity Type | Individual |
| Full Name | TEQUILA BRIDGES |
| Credential | B.S. |
| Practice Address |
925 E Main St Henderson TN 38340-1709 |
| Practice Telephone | 7319893401 |
| Practice Fax Number | 7319893838 |
| Mailing Telephone | 7319893401 |
| Mailing Fax Number | 7319893838 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
925 E MAIN ST |
| City | HENDERSON |
| State | TN |
| Zip Code | 38340-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972743300 | Desmond Marquis Lancaster | Counselor | 925 E Main St, Henderson, TN 38340-1709 | 2009-02-25 |
| 1609013960 | Jamie P Hurst | Counselor | 925 E Main St, Henderson, TN 38340-1709 | 2009-01-08 |
| 1093994386 | Laura Drieling | Counselor | 925 E Main St, Henderson, TN 38340-1709 | 2007-11-02 |
| 1174712640 | Tierra Thaxton | Counselor | 925 E Main St, Henderson, TN 38340-1709 | 2007-10-19 |
| 1417092511 | Melissa Cherry | Social Worker | 925 E Main St, Henderson, TN 38340-1709 | 2007-02-20 |
| 1043351158 | Andrea Leigh Newman | Counselor | 925 E Main St, Henderson, TN 38340-1709 | 2007-02-09 |
| 1003915117 | Beverly Meador | Counselor | 925 E Main St, Henderson, TN 38340-1709 | 2006-09-22 |
| 1477652527 | Heather Finch | Counselor | 925 E Main St, Henderson, TN 38340-1709 | 2006-09-22 |
| 1912018284 | Diane G Jeffries | Social Worker | 925 E Main St, Henderson, TN 38340-1709 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407487390 | Cornerstone Pharmacy, LLC | Pharmacy | 1330 Us Hwy 45 N Ste D, Henderson, TN 38340 | 2020-01-29 |
| 1184774358 | State of Tennessee | Public Health or Welfare | 301 Quinco Drive, Henderson, TN 38340 | 2007-01-11 |
| 1952381089 | Ronald Allen Hoffmeyer | Physician Assistant | 1132 Industrial Drive, Henderson Health Center, Henderson, TN 38340 | 2006-01-17 |
| 1487636031 | Ronald E Johnson | Dentist | 136 South Washington Ave, Henderson, TN 38340-0096 | 2005-11-18 |
| 1174835664 | Southwest Human Resource Agency | Local Education Agency (LEA) | 1527 White Avenue, Henderson, TN 38340-0264 | 2010-07-13 |
| 1366637969 | Hardeman County Community Health Center | Clinic/Center | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2007-09-07 |
| 1629380639 | Candice Johnson Jones | Family Medicine | 1132 Industrial Dr, Henderson, TN 38340-1310 | 2010-07-07 |
| 1578510269 | Henderson Residential, LLC | Assisted Living Facility | 558 White Ave, Henderson, TN 38340-1504 | 2006-05-28 |
| 1457591117 | Melaro Behavioral Consultants Inc | Clinic/Center | 225 W Sixth St, Henderson, TN 38340-1515 | 2009-02-20 |
| 1386797314 | David Allen Magee | Dentist | 1520 Cherry Creek Cv, Henderson, TN 38340-1578 | 2007-01-21 |
| Find all providers in zip 38340 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314140 | Kirsten Kilburn | Counselor | 46 Aldrin Cir, Henderson, NV 89015-6103 | 2020-07-23 |
| 1518575166 | Madeleine Metcalf | Counselor | 2424 Rue Bienville Way, Henderson, NV 89044-0432 | 2020-07-20 |
| 1376165431 | Lindsay R Clanagan | Counselor | 2824 Dunnottar Ave, Henderson, NV 89044 | 2020-05-12 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1821637406 | Robert William Allen | Counselor | 2831 Saint Rose Pkwy # 227, Henderson, NV 89052-4840 | 2019-12-31 |
| 1720649155 | Clark County Counseling LLC | Counselor | 1546 W Warm Springs Rd Ste 120, Henderson, NV 89014-4326 | 2019-06-26 |
| 1093370405 | Miguel Casiano | Counselor | 320 Conestoga Way Apt 6110, Henderson, NV 89002-9713 | 2019-05-01 |
| 1710499397 | Tammy Michele Jetton | Counselor | 202 Fullerton Ave, Henderson, NV 89015-5223 | 2017-11-03 |
| 1538670096 | Kristi Orgill Pace | Counselor | 111 S Gibson Rd Apt 622, Henderson, NV 89012-2670 | 2017-10-23 |
| 1699292904 | Westcare Nevada Inc | Counselor | 2501 N Green Valley Pkwy Ste 117-119, Henderson, NV 89014-0273 | 2017-08-28 |
| Find all providers in HENDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.