LELAND BERRY WALL (NPI# 1033752589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033752589 |
| Entity Type | Individual |
| Full Name | LELAND BERRY WALL |
| Credential | LCDC |
| Practice Address |
12301 Main St Houston TX 77035-6207 |
| Practice Telephone | 7132755320 |
| Mailing Telephone | 7132755320 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3948 | TX | Behavioral Health & Social Service Providers |
| Street Address |
12301 MAIN ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77035-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750461505 | Michael Mcclam | Psychiatry & Neurology | 12301 Main St, Houston, TX 77035-6207 | 2006-10-16 |
| 1073127593 | Tamara Johns | Social Worker | 12301 Main St, Houston, TX 77035-6207 | 2020-09-02 |
| 1093326829 | Andre Villoutreix | Counselor | 12301 Main St, Houston, TX 77035-6207 | 2020-08-14 |
| 1679191605 | Mary Frances Duran | Social Worker | 12301 Main St, Houston, TX 77035-6207 | 2020-07-07 |
| 1497381669 | Catherine Chelsey Philipp | Rehabilitation Counselor | 12301 Main St, Houston, TX 77035-6207 | 2020-03-19 |
| 1164069977 | Prashant Bhagat | Registered Nurse | 12301 Main St, Houston, TX 77035-6207 | 2019-11-30 |
| 1558904557 | Cullen Johnson Roth | Peer Specialist | 12301 Main St, Houston, TX 77035-6207 | 2019-10-22 |
| 1073164216 | Laquinta Milson | Counselor | 12301 Main St, Houston, TX 77035-6207 | 2019-09-27 |
| 1659922284 | Quadrell Mi Conerly | Registered Nurse | 12301 Main St, Houston, TX 77035-6207 | 2019-09-25 |
| 1841846011 | Catherine Comiskey | Social Worker | 12301 Main St, Houston, TX 77035-6207 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366092744 | Joyce Spigner | Technician | 5570 Gasmer #161, Houston, TX 77035 | 2019-09-17 |
| 1356901219 | Chris Ann Webb | Rehabilitation Practitioner | 12301 Main St., Professionals Unit, Houston, TX 77035 | 2019-06-13 |
| 1164983771 | Bringing Hope Inc. | Social Worker | 11401 Hwy 1774, Plantersville, TX 77035 | 2019-03-27 |
| 1760966105 | Lauren Michelle Auzenne | Dentist | 5357 West Bellfort Ave, Houston, TX 77035 | 2018-09-21 |
| 1821574583 | Priscilla D Davis | Counselor | 5240 Arboles Dr Apt 3, Houston, TX 77035 | 2018-07-16 |
| 1376964858 | South Central Houston Action Council Inc | Clinic/Center | 14087 Main St, Houston, TX 77035 | 2013-12-30 |
| 1952735391 | Gwendolyn Faye Jackson | Nurse's Aide | 5743 Farwell Dr., Houston, TX 77035 | 2013-08-21 |
| 1326383134 | Meyerland Memory Care, LLC | Assisted Living Facility | 4710 W Bellfort Street, Houston, TX 77035 | 2012-12-05 |
| 1063761997 | Millie Parikh | Pharmacist | 6415 Dellfern, Houston, TX 77035 | 2012-09-06 |
| 1912255183 | Kelly Lynn Murray | General Practice | 10811 Doud St, Houston, TX 77035 | 2012-08-20 |
| Find all providers in zip 77035 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173728 | Darlene Kearney | Counselor | 2626 S Loop W Ste 174, Houston, TX 77054-2873 | 2020-10-28 |
| 1275131559 | Debbie Jo Stuard | Counselor | Debbie Stuard Lcdc/ma, 255 Airtex, Houston, TX 77090-7753 | 2020-10-09 |
| 1558968289 | Alexandra Glenn | Counselor | 3310 Louisiana St Apt 2304, Houston, TX 77006-6637 | 2020-10-06 |
| 1811503543 | Jacqueline Maree Smith | Counselor | 8877 Frankway Dr Apt 4442, Houston, TX 77096-1909 | 2020-09-18 |
| 1003427964 | New Lite Counseling Center Inc. | Counselor | 4625 North Fwy Ste 115, Houston, TX 77022-2929 | 2020-08-13 |
| 1245841121 | Jennifer Lauren Enrri | Counselor | 1450 W Sam Houston Pkwy N, Houston, TX 77043-3135 | 2020-08-13 |
| 1780200618 | Caldwell Counseling Center | Counselor | 11999 Katy Fwy Ste 530, Houston, TX 77079-1623 | 2020-06-16 |
| 1306461231 | Rose Marie Dirden | Counselor | 7676 Hillmont St Ste 201, Houston, TX 77040-6467 | 2020-06-16 |
| 1861016636 | Discovery Alcohol & Drug Education Program, LLC | Counselor | 1100 Nasa Pkwy Ste 211a, Houston, TX 77058-3546 | 2020-06-07 |
| 1881216158 | Anthony Dejohn Young | Counselor | 2219 Greenhouse Rd Apt 2306, Houston, TX 77084-7318 | 2020-05-10 |
| Find all providers in HOUSTON | ||||
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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.