ADDICARE GROUP OF TEXAS (NPI# 1417007394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417007394 |
| Entity Type | Organization |
| Organization Name | ADDICARE GROUP OF TEXAS |
| Practice Address |
2722 W Kingsley Rd Suite 115 Garland TX 75041-2442 |
| Practice Telephone | 9722784760 |
| Practice Fax Number | 9729261099 |
| Mailing Telephone | 9722784760 |
| Mailing Fax Number | 9729261099 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2017-02-23 |
| Authorized Official Name | MR. JAMES HARRISON (CEO) |
| Authorized Official Telephone | 9722784760 |
| Authorized Official Credential | LCDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
628-A | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3580904 | 05 |
| Street Address |
2722 W KINGSLEY RD SUITE 115 |
| City | GARLAND |
| State | TX |
| Zip Code | 75041-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437489317 | Carrie Lorene Johnston | Counselor | 2722 W Kingsley Rd, Garland, TX 75041-2442 | 2009-12-28 |
| 1902001779 | Steve Chike Echetabu | Durable Medical Equipment & Medical Supplies | 2722 W Kingsley Rd, Suite 106, Garland, TX 75041-2442 | 2007-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984922 | Vitora Ventures Inc | Pharmacy | 138 W. Centerville Rd # 100, Garland, TX 75041 | 2020-05-20 |
| 1699095620 | Bevan Wayne Heaton | Dentist | 1501 W. Miller Road, Suite 180, Garland, TX 75041 | 2010-06-01 |
| 1649592064 | Yuenan Shen | Pathology | 1918 E Miller Rd, Suite 101, Garland, TX 75041 | 2010-02-26 |
| 1417105271 | Laura Beth Ackerman | Speech-Language Pathologist | 2625 Anita Dr., Garland, TX 75041 | 2008-09-05 |
| 1760522031 | South First Dental,pc | Dentist | 3109 South First Street, Garland, TX 75041 | 2007-02-07 |
| 1396840328 | Jane Elizabeth Williamson | Counselor | 629 W Centerville, Suite 205, Garland, TX 75041 | 2006-09-14 |
| 1902900038 | Michael Allen Musso | Dentist | 513 W Centerville Road, Garland, TX 75041 | 2006-09-11 |
| 1538263652 | Musso Family Dentistry | Dentist | 513 West Centerville Rd, Garland, TX 75041 | 2006-09-11 |
| 1285738534 | Robert Rushing Jr. | Audiologist | 2625 Anita, Garland, TX 75041 | 2006-09-08 |
| 1932203288 | Kristi Amyx | Occupational Therapist | 2625 Anita Dr, Garland, TX 75041 | 2006-09-08 |
| Find all providers in zip 75041 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282234 | Kristen Earwood | Counselor | 1919 S Shiloh Rd Ste 650h, Garland, TX 75042-8234 | 2016-09-07 |
| 1629433875 | Sibi Powers | Counselor | 3225 Shield Ln, Garland, TX 75044-4523 | 2015-12-15 |
| 1275916694 | Tyra Fowler | Counselor | 2705 Deer Creek Ct, Garland, TX 75040-3939 | 2015-07-02 |
| 1790198224 | Jammie Kelley | Counselor | 711 Meadowcreek Ct, Garland, TX 75043-5265 | 2014-06-02 |
| 1790059871 | Margaret Cherie Polvi | Counselor | 4817 Crestpoint Ln, Garland, TX 75043-6514 | 2012-03-07 |
| 1629369251 | Patricia A Parks | Counselor | 6246 Broadway Blvd Ste 102, Garland, TX 75043-5900 | 2011-04-30 |
| 1043788334 | Kyle Clifton Villanueva | Counselor | 505 W Centerville Rd, Garland, TX 75041-5445 | 2018-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881655 | Frances Charline Lee Cole | Counselor | 6238 Raymond Rd, Kaufman, TX 75142-7624 | 2020-11-06 |
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1639770969 | Fadya Therapy Pllc | Counselor | 1452 Wild Basin Ldg, Austin, TX 78746-2700 | 2020-11-03 |
| 1679173728 | Darlene Kearney | Counselor | 2626 S Loop W Ste 174, Houston, TX 77054-2873 | 2020-10-28 |
| 1346849148 | Priscilla Rosas | Counselor | 8431 Chivalry St, San Antonio, TX 78254 | 2020-10-22 |
| 1649879586 | Nicole Trevino | Counselor | 12631 E Clark Rd, La Feria, TX 78559-4528 | 2020-10-21 |
| 1144829060 | Reffitt Counseling, Pllc | Counselor | 301 S Rogers St Ste 106, Waxahachie, TX 75165-3682 | 2020-10-21 |
| 1548868664 | Michelle Villarreal | Counselor | 4720 Box Canyon Dr, Temple, TX 76502-7311 | 2020-10-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.