TERRY MIZELL (NPI# 1538440557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538440557 |
| Entity Type | Individual |
| Full Name | TERRY MIZELL |
| Credential | LPC |
| Practice Address |
9025 Tyne Trl Fort Worth TX 76118-7502 |
| Practice Telephone | 8175954063 |
| Mailing Telephone | 8175954063 |
| Enumeration Date | 2011-09-03 |
| Last Update Date | 2011-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
19962 | TX | Behavioral Health & Social Service Providers |
| Street Address |
9025 TYNE TRL |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76118-7502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475936 | Ellen Dixon | Specialist/Technologist | 9502 Garden Wood Drive Apt 421, Fort Worth, TX 76118 | 2018-02-01 |
| 1588016067 | Bartholomew Henderson | Registered Nurse | 3604 Scranton Dr, Richland Hills, TX 76118 | 2016-07-07 |
| 1447548391 | Brent Cooper Orr | Technician, Other | 7415 Whitehall Street Suite 118, Ft Worth, TX 76118 | 2011-07-13 |
| 1972804300 | National Hme | Durable Medical Equipment & Medical Supplies | 7451 Airport Freeway, Richland Hills, TX 76118 | 2010-11-17 |
| 1053572628 | C3 Christian Academy LLC | Respite Care | 6609 Baker Blvd, Richland Hills, TX 76118 | 2008-06-17 |
| 1922282946 | C3 Academy, LLC | Custodial Care Facility | 6609 Baker Blvd., Richland Hills, TX 76118 | 2007-12-27 |
| 1770787202 | George L Ruffin | Counselor | 6900 Boulevard 26, Richland Hills, TX 76118 | 2007-06-11 |
| 1649322629 | Bestcare Home Health,inc | Home Health | 7215-a Baker Blvd., Richland Hills, TX 76118 | 2007-01-18 |
| 1972692838 | Clearview Medical Incorporated | Durable Medical Equipment & Medical Supplies | 2503 Gravel Dr, Fort Worth, TX 76118 | 2006-10-11 |
| 1790753689 | Breath of Life, Inc. | Durable Medical Equipment & Medical Supplies | 2612 Gravel Dr, Bldg 7, Fort Worth, TX 76118 | 2006-03-08 |
| Find all providers in zip 76118 | ||||
| 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 | 76118 |
Please comment or provide details below to improve the information on TERRY MIZELL.
| 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.