GLEN PRINCE (NPI# 1700939865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700939865 |
| Entity Type | Individual |
| Full Name | GLEN PRINCE |
| Credential | L.P.C. |
| Practice Address |
6757 Guy Ln Orange TX 77632-3922 |
| Practice Telephone | 4098838629 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
14687 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LP0052077 | 05 |
| Street Address |
6757 GUY LN |
| City | ORANGE |
| State | TX |
| Zip Code | 77632-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205085164 | Dr. Hamid Reza Jalali, D.o., P.a. | General Practice | 11946 Hwy 62 North, Orange, TX 77632 | 2008-09-16 |
| 1831331669 | Darla Brister | Physical Therapist | 1504 Buckingham Dr, Orange, TX 77632-0425 | 2009-03-25 |
| 1932323094 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 1309 Nottingham Dr, Orange, TX 77632-0449 | 2007-04-12 |
| 1912304817 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1309 Nottingham Dr, Orange, TX 77632-0449 | 2014-11-21 |
| 1801819495 | Larry Al Wilson | Counselor | 2708 E Tanager Trl, Orange, TX 77632-0750 | 2006-07-25 |
| 1225219090 | Summit Clinical Services Pllc | Counselor | 2708 E Tanager Trl, Orange, TX 77632-0750 | 2007-11-20 |
| 1578847786 | Access Home Health Services | Home Health | 1810 W Luther Dr, Orange, TX 77632-1012 | 2011-10-06 |
| 1700179488 | Maria Elaline Hebert | Speech-Language Pathologist | 5723 Meeks Dr, Orange, TX 77632-1019 | 2011-05-27 |
| 1427605419 | Karen Marie Medlock | Social Worker | 10100 Fm 1130, Orange, TX 77632-1081 | 2019-08-23 |
| 1093958837 | Venkatesh C. S. Srinibasa Murphy | Speech-Language Pathologist | 1905 Thousand Oaks Dr, Orange, TX 77632-1214 | 2009-04-09 |
| Find all providers in zip 77632 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628759 | Brian Troy Burgess | Counselor | 767 N Highland St, Orange, CA 92867-7104 | 2020-04-22 |
| 1891271862 | Revive Counseling and Wellness Services LLC | Counselor | 284 Racebrook Rd Ste 200, Orange, CT 06477-3103 | 2018-07-12 |
| 1396197794 | Addys Santos | Counselor | 309 Elizabeth St, Orange, NJ 07050-2810 | 2016-07-08 |
| 1164805552 | Luke Purgahn | Counselor | 4711 Frost Pl, Orange, TX 77630-2830 | 2015-07-02 |
| 1346677176 | Lisa Maddox | Counselor | 1107 E Chapman Ave, Suite 100, Orange, CA 92866-2101 | 2013-10-11 |
| 1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
| 1881998367 | Evelyn Anderson Lpc | Counselor | 805 Henderson Ave, Orange, TX 77630-6325 | 2010-12-27 |
| 1669010948 | Beverly Ann Canady | Counselor | 116 Main St, Orange, NJ 07050-4059 | 2019-12-17 |
| 1790326593 | Anne Marie Elena Ruta Buchanan | Counselor | 594 N Glassell St, Orange, CA 92867-6748 | 2019-10-02 |
| 1588213292 | Lauren Renee Stava | Counselor | 401 S Tustin St Bldg D, Orange, CA 92866-2550 | 2019-09-05 |
| Find all providers in ORANGE | ||||
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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.