MARY IRENE TELISAK (NPI# 1205069499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205069499 |
| Entity Type | Individual |
| Full Name | MARY IRENE TELISAK |
| Credential | LPC |
| Practice Address |
597 Mello Dr Eagle Pass TX 78852-5707 |
| Practice Telephone | 8303526230 |
| Mailing Telephone | 8303526230 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2014-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
63789 | TX | Behavioral Health & Social Service Providers |
| Street Address |
597 MELLO DR |
| City | EAGLE PASS |
| State | TX |
| Zip Code | 78852-5707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782976 | Yariann Esther Rodriguez | Counselor | 2267 North Veteran Boulevard, Apt. 23, Eagle Pass, TX 78852 | 2020-02-12 |
| 1225688583 | Access Podiatry Center, LLC | Podiatrist | 2703 Stone Hedge, Eagle Pass, TX 78852 | 2019-09-18 |
| 1750944013 | Maria Liza Blessett | Physical Therapist | 1615 S Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-22 |
| 1861055725 | Superior Plus Ambulance LLC | Ambulance | 2296 N Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-17 |
| 1134685480 | Connoisseur Health Pros, LLC | Physical Therapy Assistant | 1615 S. Veterans Blvd., Eagle Pass, TX 78852 | 2019-02-12 |
| 1932601812 | Laura Rene Valdes | Speech-Language Pathologist | 300 Adams, Suite 7, Eagle Pass, TX 78852 | 2018-03-06 |
| 1861941494 | Eagle Pass Er LLC | Clinic/Center | 2114 N Veterans Blvd, Eagle Pass, TX 78852 | 2016-09-23 |
| 1285182600 | Eagle Pass II Enterprises, LLC | Skilled Nursing Facility | 3333 Bob Rogers Dr, Eagle Pass, TX 78852 | 2016-09-14 |
| 1063898278 | Lilia Irene Esquivel | Pharmacist | 2341 East Main St., Eagle Pass, TX 78852 | 2015-08-11 |
| 1700260494 | Cynthia Barrera | Pharmacist | 2341 East Main, Eagle Pass, TX 78852 | 2015-07-13 |
| Find all providers in zip 78852 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790304731 | Raquel Rodriguez | Counselor | 2658 Las Cimas Dr, Eagle Pass, TX 78852-6423 | 2020-04-09 |
| 1083941686 | Hildebrando Mireles IIi | Counselor | 1089 Del Rio Blvd Ste A, Eagle Pass, TX 78852-3453 | 2009-11-03 |
| 1932434727 | Brenda Guadalupe Hoffman | Counselor | 2149 El Indio Hwy, Eagle Pass, TX 78852-5455 | 2009-10-12 |
| 1841401973 | R R Hixson, Inc. | Counselor | 2149 Del Rio Blvd Ste 103, Eagle Pass, TX 78852-3487 | 2007-05-24 |
| 1558570598 | Griselda Alicia Lozano | Counselor | 2098 King Arthur St, Eagle Pass, TX 78852-5433 | 2007-05-22 |
| 1427159441 | Salome Lopez | Counselor | 757 E Rio Grande St, Eagle Pass, TX 78852-4831 | 2006-09-25 |
| 1356870208 | Victor Hugo Cruz | Counselor | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2017-06-05 |
| 1730415068 | Nuevo Amanecer Counseling Services | Counselor | 2149 El Indio Hwy, Eagle Pass, TX 78852-5455 | 2009-10-21 |
| 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 | ||||
| City | EAGLE PASS |
| Zip Code | 78852 |
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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.