LIFE 360 SOLUTIONS, LLC (NPI# 1417228388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417228388 |
| Entity Type | Organization |
| Organization Name | LIFE 360 SOLUTIONS, LLC |
| Practice Address |
11200 Broadway St Ste 2743 Pearland TX 77584-9787 |
| Mailing Address |
11152 Westheimer Rd # 230 Houston TX 77042-3208 |
| Practice Telephone | 2818041900 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | LELA BAMBERG (OWNER) |
| Authorized Official Telephone | 2818041900 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
61023 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 192669301 | 05 |
| Street Address |
11200 BROADWAY ST STE 2743 |
| City | PEARLAND |
| State | TX |
| Zip Code | 77584-9787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796341 | Canaan Land Hospice Care LLC | Hospice Care, Community Based | 11200 Broadway St Ste 2743, Pearland, TX 77584-9787 | 2020-10-07 |
| 1518579234 | Donielle Garcia | Psychologist | 11200 Broadway St Ste 2743, Pearland, TX 77584-9787 | 2020-08-24 |
| 1265044689 | Tricoastal Narcolepsy and Sleep | Psychiatry & Neurology | 11200 Broadway St Ste 2743, Pearland, TX 77584-9787 | 2020-08-18 |
| 1013537307 | Daphane J Harris | Marriage & Family Therapist | 11200 Broadway St Ste 2743, Pearland, TX 77584-9787 | 2020-04-16 |
| 1871150201 | Integrated Counseling and Wellness - Pearland | Clinic/Center | 11200 Broadway St Ste 2743, Pearland, TX 77584-9787 | 2019-05-21 |
| 1538722509 | Pinnacle of Purpose Counseling, Pllc | Counselor | 11200 Broadway St Ste 2743, Pearland, TX 77584-9787 | 2019-04-16 |
| 1083171136 | Yesenia Perez Bertl | Counselor | 11200 Broadway St Ste 2743, Pearland, TX 77584-9787 | 2019-02-25 |
| 1326527979 | Sunrise Child Psychiatry Clinic, Pllc | Psychiatry & Neurology | 11200 Broadway St Ste 2743, Pearland, TX 77584-9787 | 2018-08-13 |
| 1528465507 | Pearl Bryant | Counselor | 11200 Broadway St Ste 2743, Pearland, TX 77584 | 2014-11-19 |
| 1376976795 | Amy Harkins, Ph.d., Pllc | Community/Behavioral Health | 11200 Broadway St Ste 2743, Pearland, TX 77584-9787 | 2013-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1558916403 | Houston Mint Dentistry, Pllc | Dentist | 12568 Broadway St Ste 140, Pearland, TX 77584 | 2019-08-07 |
| 1982259198 | Pearland Unicare Pharmacy LLC | Pharmacy | 10970 Shadow Creek Parkway Suite 110.2, Pearland, TX 77584 | 2019-08-05 |
| 1972155869 | Parastoo Natasha Coselli | Dentist | 2811 Buisness Dr Unit 105, Pearland, TX 77584 | 2019-07-11 |
| 1679042030 | Dorothy B Smith-hubbard | Counselor | 919 Norfolk Dr., Pearland, TX 77584 | 2018-11-15 |
| 1720562499 | Kelly Jean Barba | Physical Therapy Assistant | 3406 Businesses Center Dr, Pearland, TX 77584 | 2018-09-19 |
| 1437631884 | Laura Gillet | Registered Nurse | 3306 Summerwood Lane, Pearland, TX 77584 | 2018-09-02 |
| 1881176204 | Sharry Magne Rivera Estrella | Registered Nurse | 11900 Shadow Creek Parkway Apt 1311, Pearland, TX 77584 | 2018-09-01 |
| 1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| Find all providers in zip 77584 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649882747 | Melissa Romell | Counselor | 3421 Monarch Meadow Ln, Pearland, TX 77581-5582 | 2020-08-19 |
| 1518578699 | Patricia Hooks | Counselor | 2214 Park Ave, Pearland, TX 77581-4217 | 2020-08-12 |
| 1740808120 | Ana Maria Serrano | Counselor | 6752 Glenhill Dr, Pearland, TX 77584-4159 | 2020-07-11 |
| 1518589142 | The Solstice Center | Counselor | 2112 Kildare Dr, Pearland, TX 77581-5164 | 2020-05-18 |
| 1205479615 | Donna Marie Davis | Counselor | 10223 Broadway St Ste P411, Pearland, TX 77584-7880 | 2019-10-18 |
| 1598318750 | Rozlyn Everett | Counselor | 1930 Kingsley Dr Apt 14206, Pearland, TX 77584-3855 | 2019-07-17 |
| 1437718848 | Susan Elizabeth Avila | Counselor | 6302 Broadway St Ste 235, Pearland, TX 77581-7828 | 2019-06-10 |
| 1457823304 | Timothy Coulter | Counselor | 2520 Mountain Sage Dr, Pearland, TX 77584-3956 | 2018-12-17 |
| 1245724624 | Crystal Taylor | Counselor | 2900 Pearland Pkwy Apt 6104, Pearland, TX 77581-4088 | 2018-06-19 |
| 1881140762 | Kim Anita Littles | Counselor | 3215 Primrose Canyon Ln, Pearland, TX 77584-2826 | 2016-08-30 |
| Find all providers in PEARLAND | ||||
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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.