GOODWILL INDUSTRIES OF EAST TEXAS, INC. (NPI# 1295148989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295148989 |
| Entity Type | Organization |
| Organization Name | GOODWILL INDUSTRIES OF EAST TEXAS, INC. |
| Practice Address |
409 W Locust St Tyler TX 75702-5644 |
| Practice Telephone | 9035938438 |
| Mailing Telephone | 9035938438 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |
| Authorized Official Name | KIMBERLY LEWIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9035938438 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609225515 | Goodwill Industries of East Texas, Inc. | Voluntary or Charitable | 1817 Loop 323 Wsw, Tyler, TX 75701 | 2016-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOODWILL INDUSTRIES OF EAST TEXAS, INC. | 409 W Locust St, Tyler, TX 75702-5644 |
| Street Address |
409 W LOCUST ST |
| City | TYLER |
| State | TX |
| Zip Code | 75702-5644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538487541 | Amy Michelle Wilson | Counselor | 409 W Locust St, Tyler, TX 75702-5644 | 2010-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| 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 |
|---|---|---|---|---|
| 1093273245 | Winning Edge Employment Services LLC | Community/Behavioral Health | 1530 S Sw Loop 323 Ste 104, Tyler, TX 75701-2558 | 2019-03-06 |
| 1629434055 | Autism Response Team of Texas, Inc | Community/Behavioral Health | 120 E South Town Dr, Tyler, TX 75703-4747 | 2016-01-14 |
| 1508140963 | Linda Vernell Harris | Community/Behavioral Health | 224 Barbee Dr, Tyler, TX 75703-4403 | 2011-10-04 |
| 1851942270 | Aurora Valdovinos, Lmft-s | Community/Behavioral Health | 1800 Shiloh Rd Ste 101, Tyler, TX 75703-2456 | 2019-09-26 |
| 1750849840 | Susan G Ponder | Community/Behavioral Health | 1530 S Sw Loop 323 Ste 104, Tyler, TX 75701-2558 | 2019-03-07 |
| 1720543895 | 360 Behavioral Health of Texas LLC | Community/Behavioral Health | 120 E South Town Dr, Tyler, TX 75703-4747 | 2019-02-04 |
| 1326490186 | Next Step Community Solutions | Community/Behavioral Health | 305 S Broadway Ave, Suite 603, Tyler, TX 75702-7307 | 2016-07-05 |
| 1912361841 | Benjamin Daniel Boynton Phd Pllc | Community/Behavioral Health | 1810 Shiloh Rd, Suite 801, Tyler, TX 75703-2419 | 2016-04-06 |
| 1922482751 | Andrews Center | Community/Behavioral Health | 2323 W Front St, Tyler, TX 75702-7704 | 2015-07-10 |
| 1497016638 | Henra Inc. | Community/Behavioral Health | 3200 Troup Hwy, Suite 250, Tyler, TX 75701-8397 | 2012-06-05 |
| Find all providers in TYLER | ||||
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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.