GOOD SHEPHERD CARE CENTER, INC


Address: 2503 S Main St Ste H, Stafford, TX 77477-5544
Phone: 8322508654

GOOD SHEPHERD CARE CENTER, INC (NPI# 1386978005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386978005
Entity Type Organization
Organization Name GOOD SHEPHERD CARE CENTER, INC
Practice Address 2503 S Main St Ste H
Stafford
TX 77477-5544
Practice Telephone 8322508654
Mailing Telephone 8322508654
Enumeration Date 2009-09-28
Last Update Date 2010-02-22
Authorized Official Name BYRON BRYANT (OWNER)
Authorized Official Telephone 8322508654
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TP2701X Psychologist
Specialization: Group Psychotherapy
Behavioral Health & Social Service Providers

Office Location

Street Address 2503 S MAIN ST STE H
City STAFFORD
State TX
Zip Code 77477-5544

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1467925867 Sheila Densie Wiltz Counselor 215 Kingsway Dr., Stafford, TX 77477 2019-01-08
1427529312 Bianca Gil Behavioral Analyst 10435 Geenbough Dr, St 410, Stafford, TX 77477 2018-12-17
1508349770 Cedric Ita Eyo Counselor 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 2018-09-12
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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

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1285129916 Rama Gerig Psychologist 9420 Seawall Blvd Unit 1003, Galveston, TX 77554-3202 2018-06-26
1376917336 Karen Mae Snaufer Psychologist 1416 Stonehollow Dr, Suite B, Kingwood, TX 77339-2492 2015-11-13
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1427498757 Ahadu Health, LLC Psychologist 14931 Eagle Run, San Antonio, TX 78233-7109 2013-07-01
1134466170 Eric Best Psychologist 10316 Fm 1841, Bivins, TX 75555-2449 2013-01-10
1851627186 Westpark Growth Solutions Psychologist 16606 Alief Clodine Rd, Houston, TX 77082-2706 2009-10-21
1881838589 R&l Preferred Healthcare Group, LLC Psychologist 2616 S Loop West, Ste 301, Houston, TX 77054 2009-04-24
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Competitor

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City STAFFORD
Zip Code 77477

Improve Information

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Dataset Information

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.

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