BONNIE ANN BLATTMAN BEAULIEU (NPI# 1669937041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669937041 |
| Entity Type | Individual |
| Full Name | BONNIE ANN BLATTMAN BEAULIEU |
| Practice Address |
3400 Nne Loop 323 Trlr 34 Tyler TX 75708-5607 |
| Practice Telephone | 9037141374 |
| Practice Fax Number | 8773502370 |
| Mailing Telephone | 9037141374 |
| Mailing Fax Number | 8773502370 |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11745 | TX | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
80342 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3400 NNE LOOP 323 TRLR 34 |
| City | TYLER |
| State | TX |
| Zip Code | 75708-5607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615699 | Aiat Radwan | Student in an Organized Health Care Education/Training Program | 11937 U Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-23 |
| 1174170781 | Sanmitha Sundaram Kota | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-08-20 |
| 1932761640 | Michael Watkins | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-07-02 |
| 1760042881 | Fahad Noman | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-20 |
| 1538729652 | Elizabeth Garza | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-20 |
| 1235799081 | Haven Price | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-14 |
| 1437719283 | Christopher Schrupp | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-14 |
| 1952960437 | Parashar Trivedi | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-06-10 |
| 1659937506 | Sandhya Devaraj | Student in an Organized Health Care Education/Training Program | 11937 Us Hwy 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-16 |
| 1164088167 | Anand Jayanti | Student in an Organized Health Care Education/Training Program | 11937 Us Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-15 |
| Find all providers in zip 75708 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622164 | Tere Pamela Ortega | Counselor | 701 Shiloh Rd Apt 717, Tyler, TX 75703-3838 | 2020-09-05 |
| 1669083937 | Arturo Vega II | Counselor | 5000 Edinburgh Dr Apt 904, Tyler, TX 75703-2713 | 2020-08-11 |
| 1063020675 | Tyler Family Counseling, Pllc | Counselor | 16075 Fm 2493, Tyler, TX 75703-7363 | 2020-07-20 |
| 1144838707 | Ceselie Ann Tobin | Counselor | 121 S Broadway Ave Ste 820, Tyler, TX 75702-7282 | 2020-07-20 |
| 1124636824 | Austyn Teal Bailiff | Counselor | 1058 Asher Way Ste 400, Tyler, TX 75703-6076 | 2020-07-19 |
| 1881237899 | Ida F Baty | Counselor | 3367 Cascades Blvd Apt 119, Tyler, TX 75709-5447 | 2019-10-22 |
| 1073077673 | Hobert Stanley Miller | Counselor | 15360 Fm 850, Tyler, TX 75707-3916 | 2019-01-28 |
| 1922594308 | Grace Counceling Center | Counselor | 1828 E Se Loop 323 Ste Ll14, Tyler, TX 75701-8398 | 2018-07-09 |
| 1578072971 | Julie Kathryn David | Counselor | 17121 Us Highway 69 S, Tyler, TX 75703-8091 | 2017-09-28 |
| 1619411204 | Marla Cannefax | Counselor | 121 S Broadway Ave Ste 528, Tyler, TX 75702-7209 | 2016-12-15 |
| Find all providers in TYLER | ||||
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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.