MRS. TRACEY DEANN BROCK (NPI# 1710088695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710088695 |
| Entity Type | Individual |
| Full Name | MRS. TRACEY DEANN BROCK |
| Credential | LPC |
| Practice Address |
702 Floyd Ave Dumas TX 79029-3138 |
| Practice Telephone | 8069355670 |
| Mailing Telephone | 8069355670 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
13350 | TX | Behavioral Health & Social Service Providers |
| Street Address |
702 FLOYD AVE |
| City | DUMAS |
| State | TX |
| Zip Code | 79029-3138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679181283 | Shannon Ruth King | Nurse Practitioner | 6740 East Road M, Dumas, TX 79029 | 2020-07-20 |
| 1053752212 | Viral Bipinchandra Patel | Dentist | 2100 South Dumas Ave., Ste. 112, Dumas, TX 79029 | 2013-07-16 |
| 1699119958 | Casa Dental | Dentist | 2100 South Dumas Ave, Ste 112, Dumas, TX 79029 | 2013-04-17 |
| 1346518156 | David M. Bonner, D.d.s., P.C. | Dentist | 101 Binkley, Dumas, TX 79029 | 2011-12-07 |
| 1982848164 | Colleen M Randall | Specialist | 6332 Hwy 722, Dumas, TX 79029 | 2009-05-01 |
| 1831332576 | Casey Lee Lagan | Orthopaedic Surgery | 1515 E 1st, Suite 200, Dumas, TX 79029 | 2009-04-10 |
| 1821297631 | Steven Carl Agle | Surgery | 1405 E 1st St Ste 201, Dumas, TX 79029 | 2007-07-12 |
| 1639391246 | Hilliard Derek Floyd Md Pa | Specialist | 421 E. 1st Street, Dumas, TX 79029 | 2007-05-03 |
| 1558400382 | John Eric Boggs | Chiropractor | 613 E 1st, Dumas, TX 79029 | 2007-02-06 |
| 1790848174 | David Mal Bonner | Dentist | 404 E 1st St, Dumas, TX 79029 | 2006-12-18 |
| Find all providers in zip 79029 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760507966 | Maxus | Counselor | 705 Meador Dr, Dumas, AR 71639-2826 | 2007-03-20 |
| 1881719060 | Maxus Inc. | Counselor | 105 Carlton Drive, Dumas, AR 71639-2826 | 2007-03-20 |
| 1700860723 | Thomas R Harris | Counselor | 310 S Bliss Ave, Dumas, TX 79029-3833 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013043 | Shayla H Rumsey | Counselor | 1137f Burton Hill Rd, Fort Worth, TX 76114-4530 | 2020-11-05 |
| 1407457385 | Rachel Marie Trembley | Counselor | 10403 School House Ln, Austin, TX 78750-1728 | 2020-11-05 |
| 1619578614 | Naquasha Riser | Counselor | 9415 Mcneil Dr Apt 623, Austin, TX 78750-8560 | 2020-11-05 |
| 1851992143 | Sheri Lynn Brown | Counselor | 11803 Briarwood Ln, Montgomery, TX 77356-5496 | 2020-11-04 |
| 1356942544 | Abigail Ibitoye | Counselor | 6300 Ridglea Pl Ste 425, Fort Worth, TX 76116-5704 | 2020-11-04 |
| 1669073037 | Lifehouse Professional Counseling Pllc | Counselor | 6602 Polaris Dr Ste 1, Laredo, TX 78041-2082 | 2020-11-03 |
| 1891396313 | On Epiphany Lane, LLC | Counselor | 603 Munger Ave Ste 100, Dallas, TX 75202-1840 | 2020-11-02 |
| 1336749597 | Ebony Jackson | Counselor | 11510 Homestead Rd Ste 295, Houston, TX 77016-1237 | 2020-10-27 |
| 1932709482 | Alexxis Nicole Warford | Counselor | 505 W University Ave Ste 105, Georgetown, TX 78626-6643 | 2020-10-26 |
| 1487253951 | Shanler Leigh Hoover | Counselor | 12800 Hillcrest Rd # A103, Dallas, TX 75230-1524 | 2020-10-25 |
| Find all providers with the same taxonomy | ||||
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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.