THE DREAM LAB (NPI# 1073051504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073051504 |
| Entity Type | Organization |
| Organization Name | THE DREAM LAB |
| Other Organization Name | DREAM LAB COUNSELING |
| Practice Address |
4613 Parkway Dr Suite 5 Texarkana AR 71854-1142 |
| Practice Telephone | 9185106066 |
| Mailing Telephone | 9185106066 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2019-12-14 |
| Authorized Official Name | KIZER CONTREL NEAL (THERAPIST) |
| Authorized Official Telephone | 9185106066 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Dream Lab Counseling | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2411 Summerhill Rd, Texarkana, TX 755013570 | 8705877021 | 8702754860 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | The Dream Lab | 7830 W Alameda Ave, Ste 332, Lakewood, CO 80226 |
| Street Address |
4613 PARKWAY DR SUITE 5 |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104167352 | Home Delivery Incontinent Supplies Co Inc | Durable Medical Equipment & Medical Supplies | 4613 Parkway Dr, Suite A, Texarkana, AR 71854-1142 | 2013-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811553 | Patrizia Lalonde | Counselor | 4140 Mcknight Rd, Texarkana, TX 75503-0921 | 2020-01-30 |
| 1073012712 | Texarkana Counseling Services, LLC | Counselor | 2116 N State Line Ave, Texarkana, AR 71854-3583 | 2018-02-08 |
| 1598124356 | Shavon Lashelle Hill | Counselor | 1305 Arkansas Blvd, Texarkana, AR 71854-1890 | 2016-02-22 |
| 1275918625 | Ashley Freece | Counselor | 2118 N State Line Ave # Ar, Texarkana, AR 71854-3583 | 2015-07-28 |
| 1538419171 | Barbara Ann Page | Counselor | 602 Pine St, Texarkana, TX 75501-5517 | 2012-09-11 |
| 1598941361 | Robert Reed Hervey | Counselor | 64 Sam Thomas Rd, # 7, Texarkana, TX 75501-2101 | 2008-01-11 |
| 1245421502 | Philip Wayne Aaron | Counselor | 4323 Jefferson Ave, Texarkana, AR 71854-1515 | 2007-08-01 |
| 1104944883 | Shannon Camp Hicks | Counselor | 1202 N Stateline, Texarkana, AR 71854-4969 | 2007-03-27 |
| 1275610024 | Gloria J Cunningham | Counselor | 1400 College Dr. Ste 204, Texarkana, TX 75503 | 2006-11-01 |
| 1720173123 | Jennifer Turner | Counselor | 5013 Pincrest Circle, Texarkana, AR 71854 | 2006-10-03 |
| Find all providers in TEXARKANA | ||||
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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.