P.E.E.R. PALS, LLC


Address: 200 W 2nd St, 228-a, Freeport, TX 77541-5773
Phone: 7137243603

P.E.E.R. PALS, LLC (NPI# 1447700166) 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) 1447700166
Entity Type Organization
Organization Name P.E.E.R. PALS, LLC
Practice Address 200 W 2nd St
228-a
Freeport
TX 77541-5773
Practice Telephone 7137243603
Mailing Telephone 7137243603
Enumeration Date 2016-10-05
Last Update Date 2016-10-05
Authorized Official Name MRS. TRAVETT ROBINSON JOHNSON (OWNER)
Authorized Official Telephone 7137243603
Authorized Official Credential LPC
Is Organization Subpart Y
Parent Organization Name P.E.E.R. PALS, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 68632 TX Agencies

Other Provider Identifier

State Issuer Identifier Type Code
TX 325808902 05

Office Location

Street Address 200 W 2ND ST
228-A
City FREEPORT
State TX
Zip Code 77541-5773

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NPI Name Taxonomy Address Enumeration
1174909022 Aida Garza Counselor 200 W. 2nd St., Suite 228, Freeport, TX 77541 2015-08-03
1982960720 Adapt Programs, LLC Clinic/Center 210 W 1st Street, Suite B Room 1, Freeport, TX 77541 2012-04-05
1467976530 Carmen Garcia-garza Nurse Practitioner 905 N Gulf Blvd, Freeport, TX 77541 2017-07-31
1326380767 Mohamed Awni Zebda Pediatrics 905 N Gulf Blvd, Freeport, TX 77541 2013-03-25
1003022898 Nusrat Ahmed Family Medicine 905 N Gulf Blvd, Freeport, TX 77541 2007-05-16
1952707861 Melissa Colvin Nurse Practitioner 602 Copper Rd, Freeport, TX 77541-3001 2014-11-05
1083926752 Stanley H Miller Preventive Medicine 2301 N Brazosport Blvd # B-101, Dow Chemical Health Services, Freeport, TX 77541-3203 2010-07-09
1063633303 Beverly E Morrison Physical Medicine & Rehabilitation 1102 N Brazosport Blvd, Freeport, TX 77541-3504 2007-05-02
1114917846 Atlas Dental Lp Dentist 1723 N Avenue K, Freeport, TX 77541-3605 2005-10-25
1457727109 Shine Dental Pllc Dentist 1723 N Avenue K, Freeport, TX 77541-3605 2015-08-17
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

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NPI Name Taxonomy Address Enumeration
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1184021255 Robert Moore Community/Behavioral Health 719 N Greenfield Dr, Freeport, IL 61032-2940 2014-12-04
1609047984 Freeport Pride, Inc. Community/Behavioral Health 33 Guy Lombardo Ave, Freeport, NY 11520-3604 2008-03-14
1770069007 Ramir's Counseling Center of Hope, Pllc Community/Behavioral Health 1206 W 4th St, Freeport, TX 77541-5304 2018-07-19
1134557200 Bianca Tatjana Nunez Community/Behavioral Health 91 Guy Lombardo Ave, Freeport, NY 11520-3731 2013-10-28
1568607398 Resources for Resolving Violence Community/Behavioral Health 28 Marshview Dr, Freeport, ME 04032-6046 2008-12-08
1447422936 Barbara A. Hallstrom LLC Community/Behavioral Health 1011 Loras Dr Ste C, Freeport, IL 61032-6900 2008-03-25
1205972601 South Shore Child Association Incorporated Community/Behavioral Health 91 Guy Lombardo Ave, 2nd Floor, Freeport, NY 11520-3731 2007-01-30

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1750982047 Edwards Housing LLC Community/Behavioral Health 3119 Teodoro Dr, Grand Prairie, TX 75052-8751 2020-11-04
1457951972 Allison Evans Counseling and Consulting, Pllc Community/Behavioral Health 1584 Seminole Dr, Forney, TX 75126-1450 2020-10-26
1881292738 Actus Behavioral Support LLC Community/Behavioral Health 6213 Smithwick Dr, Mckinney, TX 75070-3573 2020-10-13
1083211387 Crescent Behavioral Health, LLC Community/Behavioral Health 202 W Park Place Dr, Lancaster, TX 75134-3250 2020-10-08
1275130924 Inspired Action Counseling Community/Behavioral Health 14914 Rockledge Dr, Cypress, TX 77429-1874 2020-10-06
1811594450 Jessica Hooson, Lcsw, P.l.l.c. Community/Behavioral Health 516 E Slaughter Ln Apt 402, Austin, TX 78744-0052 2020-10-06
1376150839 Victoria Behavioral Services Clinic LLC Community/Behavioral Health 16205 Westheimer Rd Ste 100, Houston, TX 77082-1207 2020-09-29
1952918682 Blue Angels Therapeds, LLC Community/Behavioral Health 1400 Rivery Blvd Apt 4116, Georgetown, TX 78628-3041 2020-09-27
1659987071 Committed 2 Me Counseling Center, LLC Community/Behavioral Health 105 E. Blackbourn, Hawkins, TX 75765 2020-09-21
1205441383 Lei Behavioral Services, LLC Community/Behavioral Health 6201 Bonhomme Rd # She266n, Houston, TX 77036-4365 2020-09-15
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Competitor

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City FREEPORT
Zip Code 77541

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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