MS. DEBORAH PETTWAY (NPI# 1255889416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255889416 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH PETTWAY |
| Practice Address |
1200 Binz St Ste 850 Houston TX 77004-6933 |
| Practice Telephone | 2813877089 |
| Practice Fax Number | 7134865661 |
| Mailing Telephone | 2813877089 |
| Mailing Fax Number | 7134865661 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3855 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1200 BINZ ST STE 850 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77004-6933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134617525 | Jacqueline Garza | Social Worker | 1200 Binz St Ste 850, Houston, TX 77004-6933 | 2018-05-01 |
| 1437670411 | Ut Physicians Specialty Services | Pediatrics | 1200 Binz St Ste 850, Houston, TX 77004-6933 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081622 | University of Houston | Community Health Worker | 4649 Calhoun Rd, Ste 342, Houston, TX 77004 | 2020-01-03 |
| 1205487394 | Sharon B Robinson | Technician | 3405 Drew Apt. #1, Houston, TX 77004 | 2019-09-20 |
| 1386206209 | H-e-b, Lp | Clinical Medical Laboratory | 6055 South Freeway, Houston, TX 77004 | 2019-07-01 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1922541275 | Rita Assi | Student in an Organized Health Care Education/Training Program | 4407 Austin Street, Houston, TX 77004 | 2016-11-18 |
| 1396291001 | Yoon Jung Park | Nurse Practitioner | 1200 Binz St #1040, Houston, TX 77004 | 2016-09-01 |
| 1962869339 | Elite One Direct | Home Health | 3501 Chenevert, 24, Houston, TX 77004 | 2016-01-15 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1508109273 | Akwete Riley | Speech-Language Pathologist | 2712 Isabella, Houston, TX 77004 | 2013-04-01 |
| 1831437003 | Lonestar Dental Emergency Care, PC | Dentist | 5445 Almeda Rd, Ste. 300, Houston, TX 77004 | 2013-01-23 |
| Find all providers in zip 77004 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173728 | Darlene Kearney | Counselor | 2626 S Loop W Ste 174, Houston, TX 77054-2873 | 2020-10-28 |
| 1275131559 | Debbie Jo Stuard | Counselor | Debbie Stuard Lcdc/ma, 255 Airtex, Houston, TX 77090-7753 | 2020-10-09 |
| 1558968289 | Alexandra Glenn | Counselor | 3310 Louisiana St Apt 2304, Houston, TX 77006-6637 | 2020-10-06 |
| 1811503543 | Jacqueline Maree Smith | Counselor | 8877 Frankway Dr Apt 4442, Houston, TX 77096-1909 | 2020-09-18 |
| 1003427964 | New Lite Counseling Center Inc. | Counselor | 4625 North Fwy Ste 115, Houston, TX 77022-2929 | 2020-08-13 |
| 1245841121 | Jennifer Lauren Enrri | Counselor | 1450 W Sam Houston Pkwy N, Houston, TX 77043-3135 | 2020-08-13 |
| 1780200618 | Caldwell Counseling Center | Counselor | 11999 Katy Fwy Ste 530, Houston, TX 77079-1623 | 2020-06-16 |
| 1306461231 | Rose Marie Dirden | Counselor | 7676 Hillmont St Ste 201, Houston, TX 77040-6467 | 2020-06-16 |
| 1861016636 | Discovery Alcohol & Drug Education Program, LLC | Counselor | 1100 Nasa Pkwy Ste 211a, Houston, TX 77058-3546 | 2020-06-07 |
| 1881216158 | Anthony Dejohn Young | Counselor | 2219 Greenhouse Rd Apt 2306, Houston, TX 77084-7318 | 2020-05-10 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on MS. DEBORAH PETTWAY.
| 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.