MR. ETHO TODD PUGH SR. (NPI# 1104254002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104254002 |
| Entity Type | Individual |
| Full Name | MR. ETHO TODD PUGH SR. |
| Practice Address |
1904 Roselle Ct Arlington TX 76018-2590 |
| Practice Telephone | 6825549996 |
| Mailing Telephone | 6825549996 |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2013-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1904 ROSELLE CT |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76018-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653460 | Tracy Lynn Arion | Counselor | 520 West Way Place, Arlington, TX 76018 | 2019-01-16 |
| 1932695921 | Oliver's Residential Care,llc | Assisted Living Facility | 2127 Merritt Way, Arlington, TX 76018 | 2018-07-03 |
| 1396267589 | Melissa Cejas | Counselor | 320 Westway Place Suite, 530, Arlington, TX 76018 | 2017-07-10 |
| 1568992832 | Amber Lynn Bollinger | Counselor | 320 Westway Place, 530, Arlington, TX 76018 | 2017-06-19 |
| 1689116832 | Medi Weightloss | Clinic/Center | 4000 Five Points Blvd., Suite 169, Arlington, TX 76018 | 2016-11-04 |
| 1477937878 | Galal Hassan | Non-emergency Medical Transport (VAN) | 601 Bristlecone Drive, Arlington, TX 76018 | 2015-07-15 |
| 1235541582 | Back On Track Chiropractic Center | Chiropractor | 4927 S Collins St., Suite 105, Arlington, TX 76018 | 2014-05-21 |
| 1144563354 | Thomas Hong | Anesthesiology | 2001 Se Green Oaks Blvd Ste 130, Arlington, TX 76018 | 2013-04-05 |
| 1770822710 | American Current Care Pa | Clinic/Center | 511 Interstate 20 E, Arlington, TX 76018 | 2013-02-12 |
| 1407105141 | Thriving Hearts Care Services Inc | Home Health | 6207 Brookknoll Drive, Arlington, TX 76018 | 2012-09-07 |
| Find all providers in zip 76018 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609136 | Roderick Duffey | Community/Behavioral Health | 2123 Ballycastle Dr, Arlington, TX 76017-4512 | 2018-05-14 |
| 1386145548 | Center for Theraputic Change | Community/Behavioral Health | 1101 W Randol Mill Rd, Arlington, TX 76012-2515 | 2018-02-23 |
| 1376083352 | Life We Deserve, LLC | Community/Behavioral Health | 1919 Clarendon Blvd Apt 538, Arlington, VA 22201 | 2017-02-24 |
| 1427507722 | Azra Grudic Consulting and Counseling | Community/Behavioral Health | 3617 186th Pl Ne # 4a, Arlington, WA 98223-7928 | 2016-09-27 |
| 1578018073 | Arise Behavioral Health | Community/Behavioral Health | 1172 W Pioneer Pkwy, Arlington, TX 76013-6367 | 2016-08-25 |
| 1306202411 | North Texas Community Initiative, Inc. | Community/Behavioral Health | 5811 Gloucester Ct, Suite 101, Arlington, TX 76018-2384 | 2016-01-05 |
| 1891168605 | Learning and Behavior | Community/Behavioral Health | 2023 21st St N Apt 25, Arlington, VA 22201-3650 | 2015-11-03 |
| 1750751434 | Midsouth Behavior Clinic | Community/Behavioral Health | 12482 Magnolia Bend Dr, Arlington, TN 38002-7046 | 2015-10-06 |
| 1700276375 | Epiphany Counseling Services | Community/Behavioral Health | 901 W Bardin Rd Ste 308, Arlington, TX 76017-6029 | 2015-02-03 |
| 1497169643 | Precious J and J Counseling and Associates | Community/Behavioral Health | 1619 W Division St, Suite E, Arlington, TX 76012-3832 | 2014-06-16 |
| Find all providers in ARLINGTON | ||||
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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.