MR. MICHAEL LEE GARDNER (NPI# 1497773774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497773774 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL LEE GARDNER |
| Credential | LPC |
| Practice Address |
4921 Royal Dr Fort Worth TX 76116-8827 |
| Mailing Address |
6017 Reef Point Ln Suite 115 Lake Worth TX 76135-7004 |
| Practice Telephone | 8173771101 |
| Mailing Telephone | 8179154276 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
19711 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690548 | Michael Gardner | Dentist | 7127 Winterwood Ln, Highland, CA 92346-5434 | 2020-08-21 |
| 1497266001 | Michael K Gardner | Counselor | 7515 Greenville Ave Ste 1000, Dallas, TX 75231-3852 | 2017-10-23 |
| 1902203011 | Michael Gardner | Non-emergency Medical Transport (VAN) | 15114 Walden Park Ct, Houston, TX 77049-1789 | 2014-12-04 |
| 1619239860 | Michael Gardner | Pharmacist | 1680 E Handel St, Meridian, ID 83646-4708 | 2012-06-13 |
| 1336299122 | Michael Gardner | Family Medicine | 633d Air Base Wing, Family Health Clinic, 77 Nealy Drive, Langley Afb, VA 23665 | 2007-01-12 |
| 1699798371 | Michael Raymond Gardner | Dentist | 1901 6th St Sw, Willmar, MN 56201-5104 | 2006-07-25 |
| 1295711109 | Michael J Gardner | Psychologist | 805 N Orange St, Butler, MO 64730 | 2005-12-22 |
| 1508866989 | Michael John Gardner | Chiropractor | 14 W Market St, Tiffin, OH 44883-2720 | 2005-07-28 |
| 1427410117 | Michael Winslow Gardner | Student in an Organized Health Care Education/Training Program | 200 Lothrop Street, S-553 Scaife Hall, Pittsburgh, PA 15213 | 2016-03-22 |
| 1144699075 | Michael Gardner | Physical Therapist | 3903 Northdale Blvd, Suite 111w, Tampa, FL 33624-1864 | 2015-09-22 |
| Street Address |
4921 ROYAL DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76116-8827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1023543048 | 5th Avenue Grooming Lounge | Prosthetic/Orthotic Supplier | 1201 N Watson Rd., Suite 283, Arlington, TX 76116 | 2017-04-27 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| Find all providers in zip 76116 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428780 | Cynthia Frazier | Counselor | 2612 Dahlia Dr, Fort Worth, TX 76123-1252 | 2020-08-23 |
| 1326650755 | Next Steps Professional Counseling Services, LLC | Counselor | 101 S Jennings Ave Unit 104, Fort Worth, TX 76104-1112 | 2020-08-18 |
| 1477163103 | Adriana E Speiker | Counselor | 3509 Hulen St Ste 251, Fort Worth, TX 76107-6867 | 2020-08-07 |
| 1285252031 | Kiersta Lane Garcia | Counselor | 1810 8th Ave Ste B204, Fort Worth, TX 76110-1352 | 2020-07-08 |
| 1588290571 | Heather Penry | Counselor | 1024 Marlow Ln, Fort Worth, TX 76131-5375 | 2020-03-21 |
| 1992339105 | Azmeh Amer | Counselor | 172 Saint Donovan St, Fort Worth, TX 76107-1252 | 2020-02-26 |
| 1588297121 | Surnedra C Simmons | Counselor | 4941 Sunset Ridge Dr, Fort Worth, TX 76123-4615 | 2020-02-21 |
| 1821629957 | Turquoise Banks | Counselor | 5821 Wedgwood Dr, Fort Worth, TX 76133-2726 | 2020-01-28 |
| 1003447236 | Nicole Leona Sallee | Counselor | 201 Main St Fl 6, Fort Worth, TX 76102-3105 | 2020-01-27 |
| 1780214106 | Jeremy Adam Lelek | Counselor | 2501 Parkview Dr Ste 220, Fort Worth, TX 76102-5824 | 2020-01-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76116 |
Please comment or provide details below to improve the information on MR. MICHAEL LEE GARDNER.
| 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.