KESHIL WATERLAND (NPI# 1326586835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326586835 |
| Entity Type | Individual |
| Full Name | KESHIL WATERLAND |
| Credential | LPC |
| Practice Address |
1150 Devereux Dr League City TX 77573-2043 |
| Practice Telephone | 2813165472 |
| Mailing Telephone | 2813165472 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
64131 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1150 DEVEREUX DR |
| City | LEAGUE CITY |
| State | TX |
| Zip Code | 77573-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841270782 | Carolyn Theresa Villarrubia | Psychiatry & Neurology | 1150 Devereux Dr, League City, TX 77573 | 2006-01-18 |
| 1861968505 | Kristine M Murray | Nurse Practitioner | 1150 Devereux Dr, League City, TX 77573-2043 | 2018-10-21 |
| 1861949513 | The Devereux Foundation | Psychiatric Hospital | 1150 Devereux Dr, League City, TX 77573-2043 | 2016-09-09 |
| 1992108153 | The Devereux Foundation | Long Term Care Hospital | 1150 Devereux Dr, League City, TX 77573-2043 | 2014-10-02 |
| 1912311226 | Amish Desai | Psychiatric Residential Treatment Facility | 1150 Devereux Dr, League City, TX 77573-2043 | 2014-06-13 |
| 1619312758 | Megan M. Sharp | Social Worker | 1150 Devereux Dr, League City, TX 77573-2043 | 2013-05-02 |
| 1144576414 | Theresa Diem-hang Bui | Psychiatry & Neurology | 1150 Devereux Dr, League City, TX 77573-2043 | 2012-07-24 |
| 1053567453 | Tara Michelle Edmondson | Counselor | 1150 Devereux Dr, League City, TX 77573-2043 | 2008-08-18 |
| 1790944676 | Davida Jo Chamberlin-elliott | Counselor | 1150 Devereux Dr, League City, TX 77573-2043 | 2008-06-05 |
| 1174781637 | Robert L Scott | Counselor | 1150 Devereux Dr, League City, TX 77573-2043 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527306 | Colin Joe Lee | Pharmacist | 1088 W Main St League City, Tx 77573 United States, League City, TX 77573 | 2020-10-28 |
| 1033764931 | Brittany Salinas | Physical Medicine & Rehabilitation | 2205 Colonial Court N, League City, TX 77573 | 2019-08-07 |
| 1366007833 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 2220 E. League City Parkway, Suite 200, League City, TX 77573 | 2019-05-09 |
| 1851863724 | Gina Carter | Durable Medical Equipment & Medical Supplies | 210 S. Hwy 3, Unit B, League City, TX 77573 | 2018-12-17 |
| 1497226393 | Daniel Max & Marcandrea LLC | Optometrist | 3170 Gulf Freeway South, League City, TX 77573 | 2018-12-17 |
| 1972071983 | Chelsie N Chonoski | Nurse Practitioner | 2240 Gulf Freeway South, Suite 2.110, League City, TX 77573 | 2018-11-07 |
| 1730660564 | Rebecca Ann Peth | Physical Therapist | 350 N Wesley Dr., Apt 1123, League City, TX 77573 | 2018-08-29 |
| 1912485087 | Sarwat Hussain Zaffer | Dentist | 1620 W Fm 646, Ste D, League City, TX 77573 | 2018-08-01 |
| 1518468651 | Clear Creek Chiropractic Center | Clinic/Center | 624 West Main Ste 102, League City, TX 77573 | 2018-02-23 |
| 1255850848 | Travis William Prothro | Chiropractor | 1620 W. Fm 646, Suite C, League City, TX 77573 | 2017-09-14 |
| Find all providers in zip 77573 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958803 | Omar Cobo | Counselor | 2219 Viola Dr, League City, TX 77573-2711 | 2020-10-07 |
| 1336752955 | Casey Anne Degroot | Counselor | 2104 Yacht Harbor Ln, League City, TX 77573-5314 | 2020-08-24 |
| 1588273742 | Debra Lynette Santos | Counselor | 2529 Mango Ct, League City, TX 77573-3909 | 2020-07-23 |
| 1174149777 | Shea Lyn Hillman | Counselor | 2217 Daroca Dr, League City, TX 77573-3346 | 2020-06-19 |
| 1275155970 | Nancy Madoux | Counselor | 600 Hobbs Rd Apt 404, League City, TX 77573-5124 | 2020-05-15 |
| 1306384854 | Jessica Corey | Counselor | 2360 Gulf Fwy S # 100b, League City, TX 77573-6448 | 2017-02-04 |
| 1811369309 | Erika Willis | Counselor | 2249 Waxwing Dr, League City, TX 77573-2393 | 2015-10-23 |
| 1174932545 | Tanya Hinson | Counselor | 549 N Egret Bay Blvd, Suite #300, League City, TX 77573-3236 | 2014-08-10 |
| 1013220037 | Scot R Macomber | Counselor | 620 W Main St Ste 101, League City, TX 77573-3776 | 2010-07-19 |
| 1972834646 | Shunta Monique Antwi | Counselor | 2012 Lake Landing Dr, League City, TX 77573-7801 | 2010-01-20 |
| Find all providers in LEAGUE CITY | ||||
| City | LEAGUE CITY |
| Zip Code | 77573 |
Please comment or provide details below to improve the information on KESHIL WATERLAND.
| 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.