WATERSHED GROUP OF DALLAS, PLLC (NPI# 1245755081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245755081 |
| Entity Type | Organization |
| Organization Name | WATERSHED GROUP OF DALLAS, PLLC |
| Other Organization Name | LIFEOLOGIE PLANO RICHARDSON |
| Practice Address |
3600 Shire Blvd Ste 208 Richardson TX 75082-2238 |
| Practice Telephone | (214) 556-0996 |
| Mailing Telephone | 2145560996 |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2017-08-12 |
| Authorized Official Name | MR. LY HAI TRAN (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2145560996 |
| Authorized Official Credential | LPS-SUPERVISOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 63770 | TX | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Lifeologie Plano Richardson | Doing Business As Name - Organization |
| Street Address |
3600 SHIRE BLVD STE 208 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75082-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114570405 | Mei C Yatco | Counselor | 3600 Shire Blvd Ste 208, Richardson, TX 75082-2238 | 2019-07-17 |
| 1922669365 | Laura Kaye Harrison | Counselor | 3600 Shire Blvd Ste 208, Richardson, TX 75082-2238 | 2019-06-26 |
| 1396261939 | Ly Tran | Counselor | 3600 Shire Blvd Ste 208, Richardson, TX 75082-2238 | 2017-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505367 | Texas Center for Hip & Knee Replacement Surgery, Pllc | Orthopaedic Surgery | Texas Center for Hip & Knee Replacement Surgery, Pllc, 2821 E. President George Bush Hwy, Suite 300, Richardson, TX 75082 | 2018-07-20 |
| 1033600481 | Hospital Specialist 4 Kids Pllc | Pediatrics | 1250 Hunt St Apt 1512, Richardson, TX 75082 | 2018-05-22 |
| 1174021760 | Kevin V Hua | Dentist | 4251 E. Renner Rd-, #126, Richardson, TX 75082 | 2018-01-29 |
| 1912410739 | Ntx Anesthesiology Consultants Pllc | Anesthesiology | 2100 Lakeside Blvd Ste 250, Richardson, TX 75082 | 2017-11-15 |
| 1982123931 | Jessica A Baxter | Occupational Therapist | 2150 Lakeside Blvd #150, Richardson, TX 75082 | 2017-09-11 |
| 1720509763 | Neylu Inc | Durable Medical Equipment & Medical Supplies | 45 Dunrobin, Richardson, TX 75082 | 2017-06-29 |
| 1578006342 | Janice Sun Couch | Registered Nurse | 3201 E Pres. Georgebush Hwy St. 101, Richardson, TX 75082 | 2016-11-29 |
| 1134678873 | Fresenius Medical Care Renner Road, LLC | Clinic/Center | 3317 Essex Dr Ste 150, Richardson, TX 75082 | 2016-09-22 |
| 1639529308 | James G Gray | Counselor | 101 W Renner Rd Ste 220, Richardson, TX 75082 | 2016-06-14 |
| 1245695907 | Richardson Smiles Pllc | Dentist | 2000 N Plano Rd #106, Richardson, TX 75082 | 2015-12-23 |
| Find all providers in zip 75082 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750898193 | Elizabeth C Luginbyhl | Counselor | 5614 Manchester Dr, Richardson, TX 75082-2861 | 2018-01-08 |
| 1336684828 | Kimberlee Kays | Counselor | 1901 N Central Expy Ste 220, Richardson, TX 75080-3558 | 2016-12-20 |
| 1417303298 | Erica Pouncie | Counselor | 1801 Gateway Blvd Ste 219, Richardson, TX 75080-3626 | 2016-05-10 |
| 1649669144 | Stephanie H. Greenberg | Counselor | 1221 Abrams Rd Ste 326, Richardson, TX 75081-5574 | 2015-01-21 |
| 1871860023 | Virginia H. Magliolo | Counselor | 1701 Gateway Boulevard, Suite 405, Richardson, TX 75080 | 2011-11-16 |
| 1811206691 | Kelly C Pemberton | Counselor | 2005 Columbia Dr, Richardson, TX 75081-3206 | 2010-09-28 |
| 1083926620 | Kathleen L Lee | Counselor | 1702 N Collins Blvd Ste 250, Richardson, TX 75080-3655 | 2010-07-12 |
| 1174734206 | Elizabeth Ann Cosgray | Counselor | 600 S Jupiter Rd, Richardson, TX 75081-4756 | 2007-05-24 |
| 1225104508 | Linda Lee Dotson | Counselor | 1219 Abrams Rd, 130, Richardson, TX 75081 | 2006-11-28 |
| 1518988914 | Francine Daner | Counselor | 1118 Overlake Drive, Richardson, TX 75080-6937 | 2006-07-21 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75082 |
Please comment or provide details below to improve the information on WATERSHED GROUP OF DALLAS, PLLC.
| 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.