MR. LARRY L ANDERSON (NPI# 1104150879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104150879 |
Entity Type | Individual |
Full Name | MR. LARRY L ANDERSON |
Credential | LCDC/LPC |
Practice Address |
1418 Shafter Ave Odessa TX 79761-3131 |
Practice Telephone | 4325505712 |
Mailing Telephone | 4325505712 |
Enumeration Date | 2009-09-28 |
Last Update Date | 2009-09-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10474 | TX | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
63368 | TX | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336436799 | Larry James Anderson | Internal Medicine | 2076 Continental Dr Ne, Atlanta, GA 30345-3400 | 2011-07-06 |
1891090643 | Larry Anderson | Counselor | 3455 W Craig Rd, Unit C, North Las Vegas, NV 89032-5118 | 2011-01-25 |
1124156880 | Larry Gene Anderson | Chiropractor | 7 Melgrove Ln, Ste 101, Hannibal, MO 63401-2275 | 2007-03-02 |
1356485924 | Larry L Anderson | Psychologist | 2124 Dupont Ave S Ste 202, Minneapolis, MN 55405-2700 | 2007-02-16 |
1699825190 | Larry Douglas Anderson | Dentist | 11736 Impressive View Drive, Deadwood, SD 57732-0154 | 2007-01-10 |
1326156530 | Larry Anderson | Massage Therapist | 20015 Highway 99, Ste A, Lynnwood, WA 98036 | 2006-08-28 |
1144267766 | Larry D Anderson Jr. | Internal Medicine | 2201 Inwood Rd, Dallas, TX 75235 | 2006-06-01 |
1790737401 | Larry G Anderson | Orthopaedic Surgery | 503 E Parker Rd, Morganton, NC 28655-5104 | 2006-05-17 |
1184802092 | Larry Anderson | Technician, Other | 500 Highway 51 S, Ripley, TN 38063-4583 | 2008-02-01 |
1841477122 | Larry Anderson | Physical Therapist | 4211 Joe Ramsey Blvd E, Ste 100, Greenville, TX 75401-7852 | 2008-01-29 |
Street Address |
1418 SHAFTER AVE |
City | ODESSA |
State | TX |
Zip Code | 79761-3131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
Find all providers in zip 79761 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922591692 | Dana D Debose | Counselor | 2301 Conover Ave, Odessa, TX 79763-2112 | 2018-06-07 |
1528432283 | Florence Pride | Counselor | 835 Tower Dr Ste 1, Odessa, TX 79761-4251 | 2015-11-18 |
1619303922 | Jessica Riley-bolden | Counselor | 1901 E 37th St Ste 209, Odessa, TX 79762-6210 | 2013-09-18 |
1629419015 | William Michael Koch | Counselor | 416 East Chestnut Street, Odessa, MO 64076-1580 | 2013-07-12 |
1164762977 | Beth Desilets | Counselor | 1901 E 37th St Ste 104, Odessa, TX 79762-6210 | 2013-02-15 |
1730499104 | Pamela Joyce Miller | Counselor | 406 A N. 4th Street, Odessa, MO 64076 | 2010-10-19 |
1487885711 | Audrey May Steakley | Counselor | 203 Santa Rita Dr, Odessa, TX 79763-2943 | 2009-08-04 |
1053541847 | Amy Bryant Garman | Counselor | 3414 Seguin, Odessa, TX 79765-8967 | 2009-07-15 |
1003075482 | Charlene Kay Atkins | Counselor | 406a N 4th St Ste A, Odessa, MO 64076-1152 | 2008-06-02 |
1578749560 | Darla Jean Avery | Counselor | 2706 N Century Ave, Odessa, TX 79762-7937 | 2008-01-21 |
Find all providers in ODESSA |
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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.