KERRIE WALLACE (NPI# 1083161558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083161558 |
| Entity Type | Individual |
| Full Name | KERRIE WALLACE |
| Practice Address |
12839 Virgo Dr Willis TX 77318-5251 |
| Practice Telephone | 2817995260 |
| Mailing Telephone | 2817995260 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
7693 | TX | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
14980 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194262832 | Kerrie Wallace | Case Manager/Care Coordinator | 100 S Monroe St Ste 5, Elk City, OK 73644-5761 | 2017-01-19 |
| Street Address |
12839 VIRGO DR |
| City | WILLIS |
| State | TX |
| Zip Code | 77318-5251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435195 | Scott Sadlowski | Pharmacist | 12605 I-45 N, Willis, TX 77318 | 2020-10-21 |
| 1720621246 | Best Urgent Care, Pllc | Clinic/Center | 12717 Ih 45, Suite 300, Willis, TX 77318 | 2019-10-28 |
| 1780163378 | Eastlake Surgical Associates, LLC | Physician Assistant | 9870 Twin Shores Dr, Willis, TX 77318 | 2018-08-14 |
| 1962944330 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 9663 W. Fm 1097, Willis, TX 77318 | 2016-11-16 |
| 1730636416 | Dorothy's Halo Non-emergency Transportation Services | Non-emergency Medical Transport (VAN) | 9700 Fm 1097 Rd West, Apt #1003, Willis, TX 77318 | 2016-09-09 |
| 1952474264 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 12605 I 45 North, Willis, TX 77318 | 2006-11-16 |
| 1841280054 | Ahia No Middle Name Shabaaz | Registered Nurse | 15713 Lakeway Dr, Willis, TX 77318-3181 | 2005-10-27 |
| 1790795607 | Nathan R Denny | Psychologist | 14079 Lakepoint Dr, Willis, TX 77318-3269 | 2006-08-09 |
| 1184163123 | Skyline Senior Services, LLC | In Home Supportive Care | 13287 Hidden Trail Ct, Willis, TX 77318-4282 | 2017-02-22 |
| 1457639536 | Meridex Group LLC | Hospice Care, Community Based | 14450 Longstreet Rd, Suite B, Willis, TX 77318-4602 | 2011-07-24 |
| Find all providers in zip 77318 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942542683 | Eva J Oliphant | Counselor | 817 Mlk, Willis, TX 77378-0817 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316903 | Christi Shortes | Counselor | 5024 Fm 304, Corsicana, TX 75109 | 2020-11-06 |
| 1265033047 | Rosa Isela Vidal | Counselor | 710 W Dove Ave, Pharr, TX 78577-9080 | 2020-11-06 |
| 1245831841 | Armando Martinez Jr. | Counselor | 2321 Nightingale Ave, Mcallen, TX 78504-4246 | 2020-11-02 |
| 1386245850 | Sondra Whitaker | Counselor | 19827 Billineys Park Dr, Katy, TX 77449-8538 | 2020-11-02 |
| 1902407430 | John Woodruff | Counselor | 206 S Kentucky St Ste 101, Mckinney, TX 75069-5439 | 2020-11-02 |
| 1063013589 | Infinite Beings Treatment Center LLC | Counselor | 4201 Cypress Creek Pkwy Ste 250, Houston, TX 77068-3412 | 2020-11-02 |
| 1821698531 | Stephenie Johnson | Counselor | 603 Ellington, Ropesville, TX 79358 | 2020-10-30 |
| 1770183477 | Yoonkyung Chung | Counselor | 312 W Westway Ave, Mcallen, TX 78501-2179 | 2020-10-30 |
| 1104426824 | Debrah Lynn Alsobrook | Counselor | 6601 Cypresswood Dr Ste 224, Spring, TX 77379-7893 | 2020-10-30 |
| 1134729106 | Provost Psychotherapy | Counselor | 1300 Bay Area Blvd Ste B150-28, Houston, TX 77058-2505 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.