LAURA BETH HETRICK (NPI# 1548823412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548823412 |
| Entity Type | Individual |
| Full Name | LAURA BETH HETRICK |
| Credential | LPC |
| Practice Address |
3410 Taft Blvd Wichita Falls TX 76308-2036 |
| Mailing Address |
22106 Fm 2393 Wichita Falls TX 76310-8465 |
| Practice Telephone | 9403974618 |
| Mailing Telephone | 9408673983 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 72798 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3410 TAFT BLVD |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76308-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730165689 | Leslie Brent Walker | Social Worker | 3410 Taft Blvd, Bridwell Hall #325, Wichita Falls, TX 76308-2036 | 2005-12-21 |
| 1821605361 | Nathan Wayne Nutter | Specialist/Technologist | 3410 Taft Blvd, Wichita Falls, TX 76308-2036 | 2020-09-29 |
| 1114536109 | Jessica Nicole Humann-parkin | Student in an Organized Health Care Education/Training Program | 3410 Taft Blvd, Wichita Falls, TX 76308-2036 | 2020-07-27 |
| 1093332975 | Relindis Mana Akwanga | Student in an Organized Health Care Education/Training Program | 3410 Taft Blvd, Wichita Falls, TX 76308-2036 | 2020-06-26 |
| 1639795180 | Tara Raquel Fuller | Student in an Organized Health Care Education/Training Program | 3410 Taft Blvd, Wichita Falls, TX 76308-2036 | 2020-06-21 |
| 1821614637 | Patricia L Brown | Student in an Organized Health Care Education/Training Program | 3410 Taft Blvd, Wichita Falls, TX 76308-2036 | 2020-06-18 |
| 1275159923 | Navjot Kaur Deol | Student in an Organized Health Care Education/Training Program | 3410 Taft Blvd, Wichita Falls, TX 76308-2036 | 2020-06-18 |
| 1902422603 | Shane David Statham | Student in an Organized Health Care Education/Training Program | 3410 Taft Blvd, Wichita Falls, TX 76308-2096 | 2020-06-18 |
| 1023488988 | Christanie Rodriguez | Specialist/Technologist | 3410 Taft Blvd, D.l Ligon Coliseum 158, Wichita Falls, TX 76308-2036 | 2015-10-03 |
| 1194111906 | Samantha Carter | Specialist/Technologist | 3410 Taft Blvd, D.l. Ligon Coliseum 159, Wichita Falls, TX 76308-2036 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098434 | D Esthetique Cosmetic &laser Center | Nurse Practitioner | 3916 Callfield Road, Suite 300, Wichita Falls, TX 76308 | 2019-11-25 |
| 1295229029 | Wichita Falls Snf LLC | Skilled Nursing Facility | 4810 Kemp Boulevard, Wichita Falls, TX 76308 | 2018-06-15 |
| 1891295465 | Kelli Dawn Francis | Licensed Vocational Nurse | 4401 Randel, Wichita Falls, TX 76308 | 2018-02-20 |
| 1548789639 | Team Thin and Fit, Pllc | Preventive Medicine | 3602 Grant Street, Wichita Falls, TX 76308 | 2017-09-11 |
| 1972025807 | Louann Whittington | Counselor | 2211 Midwestern Pkwy Ste 2, Wichita Falls, TX 76308 | 2017-07-12 |
| 1487180428 | Metx, LLC | Audiologist-Hearing Aid Fitter | 2911 Bob Ave, Wichita Falls, TX 76308 | 2017-05-11 |
| 1013450295 | Tonya Doyle | Specialist/Technologist, Other | 9 Red Bluff, Wichita Falls, TX 76308 | 2016-11-21 |
| 1851847693 | Wichita Falls Emergency Center, LLC | Clinic/Center | 4121 Southwest Parkway, Wichita Falls, TX 76308 | 2016-08-31 |
| 1053710376 | Baylor County Hospital District | Skilled Nursing Facility | 4810 Kemp Blvd, Wichita Falls, TX 76308 | 2014-08-22 |
| 1386910065 | Family Dentistry of Texoma | Dentist | 4506 Kemp Blvd., Wichita Falls, TX 76308 | 2012-03-28 |
| Find all providers in zip 76308 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558905737 | Elizabeth Marie Ivey | Counselor | 813 8th St Ste 550-i, Wichita Falls, TX 76301-3305 | 2019-10-31 |
| 1629544036 | Kenda Faye Finn | Counselor | 1402 Longview St, Wichita Falls, TX 76306-4647 | 2018-10-23 |
| 1295249043 | Shelley Renae Crampton | Counselor | 1420 Twin Oaks, Wichita Falls, TX 76302 | 2017-11-30 |
| 1952769879 | Kenneth Cotton | Counselor | 600 11th St, Wichita Falls, TX 76301-4604 | 2016-02-05 |
| 1275916306 | Venus Efebo | Counselor | 2511 Missile Rd, Wichita Falls, TX 76306-1321 | 2015-07-07 |
| 1013348895 | Catherine Quinn | Counselor | 5302 Langford Ln, Wichita Falls, TX 76310-3428 | 2013-12-04 |
| 1689959629 | Charity Hegglund | Counselor | 900 8th St Ste 724, Wichita Falls, TX 76301-6808 | 2011-10-20 |
| 1497940480 | Frank Del Rio | Counselor | 1901 10th St, Suite 105, Wichita Falls, TX 76301-4934 | 2007-09-12 |
| 1902941651 | Susan J Cardwell | Counselor | 2304 Midwestern Parkway, Suite 103a, Wichita Falls, TX 76308-2342 | 2007-02-20 |
| 1710972922 | Carrie Gardner | Counselor | 807 8th St Ste 1212, Wichita Falls, TX 76301 | 2005-09-14 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76308 |
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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.