ELIZABETH WALLENBERG (NPI# 1679089528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679089528 |
| Entity Type | Individual |
| Full Name | ELIZABETH WALLENBERG |
| Practice Address |
4031 W Plano Pkwy Ste 211 Plano TX 75093-5627 |
| Mailing Address |
8915 Harry Hines Blvd Dallas TX 75235-1717 |
| Practice Telephone | 2143513490 |
| Practice Fax Number | 9725265524 |
| Mailing Telephone | 2143513490 |
| Mailing Fax Number | 2143520871 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
70330 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4031 W PLANO PKWY STE 211 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417275280 | Antoinette Ortiz | Counselor | 4031 W Plano Pkwy Ste 211, Plano, TX 75093-5627 | 2010-05-04 |
| 1134775158 | Juan Israel Guerrero Quijano | Social Worker | 4031 W Plano Pkwy Ste 211, Plano, TX 75093-5627 | 2019-08-15 |
| 1740836758 | Alicia Marie Hansen | Community Health Worker | 4031 W Plano Pkwy Ste 211, Plano, TX 75093-5627 | 2019-08-15 |
| 1932677325 | Kimberly Washington | Social Worker | 4031 W Plano Pkwy Ste 211, Plano, TX 75093-5627 | 2018-11-05 |
| 1598270415 | Priya Lal Roshan | Social Worker | 4031 W Plano Pkwy Ste 211, Plano, TX 75093-5627 | 2017-12-14 |
| 1326430927 | Lorenza Kondo | Counselor | 4031 W Plano Pkwy Ste 211, Plano, TX 75093-5627 | 2015-02-19 |
| 1710237441 | Rebecca Anne Dunlap | Counselor | 4031 W Plano Pkwy Ste 211, Plano, TX 75093-5627 | 2012-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342764 | Linda R Qualia | Counselor | 2301 Felicia Dr, Plano, TX 75074-3404 | 2020-09-28 |
| 1922612902 | Laurie Laman | Counselor | 3421 Nancy Ct, Plano, TX 75023-1108 | 2020-09-07 |
| 1356953400 | Eric Wooten | Counselor | 6317 Glenhollow Dr, Plano, TX 75093-7908 | 2020-08-20 |
| 1619586104 | Judy Patricia Clark | Counselor | 2809 Regal Rd # 110, Plano, TX 75075-6317 | 2020-07-30 |
| 1336766591 | Debra Patricia Brigandi | Counselor | 1400 Preston Rd., 4th Floor, Plano, TX 75093-5186 | 2020-07-02 |
| 1033748470 | Michele Buckner | Counselor | 3412 Flat Creek Dr, Plano, TX 75025-5873 | 2020-04-07 |
| 1447890025 | Jasia Sajjad | Counselor | 7800 Preston Rd Ste 138, Plano, TX 75024-3240 | 2020-01-10 |
| 1063067676 | Amber Kwesie | Counselor | 704 E 15th St Ste 205, Plano, TX 75074-5712 | 2019-08-09 |
| 1407401573 | Acuity Tms of Plano | Counselor | 101 E Park Blvd Ste 360, Plano, TX 75074-8821 | 2019-08-06 |
| 1639723752 | Katy Alaniz | Counselor | 2033 Midcrest Dr, Plano, TX 75075-8542 | 2019-07-26 |
| Find all providers in PLANO | ||||
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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.