CAROL MAE MANTOOTH (NPI# 1720057029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720057029 |
| Entity Type | Individual |
| Full Name | CAROL MAE MANTOOTH |
| Credential | LPC |
| Practice Address |
700 S Palestine St Athens TX 75751-3325 |
| Mailing Address |
700 S. Palestine Athens TX 75751-7536 |
| Practice Telephone | 9036759570 |
| Practice Fax Number | 9036759577 |
| Mailing Telephone | 9036759570 |
| Mailing Fax Number | 9036759577 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2012-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
9083 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 027106602 | 05 |
| Street Address |
700 S PALESTINE ST |
| City | ATHENS |
| State | TX |
| Zip Code | 75751-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797794 | Dawn Marie Lowe | Psychologist | 700 S Palestine St, Athens, TX 75751-3342 | 2020-10-13 |
| 1053931014 | Robert Craig Nicks | Psychologist | 700 S Palestine St, Athens, TX 75751-3342 | 2020-04-20 |
| 1477059673 | Curtis Ray Pickle | Counselor | 700 S Palestine St, Athens, TX 75751-3325 | 2018-04-05 |
| 1356866701 | Cedar Creek Psychiatry, LLC | Nurse Practitioner | 700 S Palestine St, Athens, TX 75751-3325 | 2017-08-07 |
| 1578968632 | Linda Hayes | Nurse Practitioner | 700 S Palestine St, Athens, TX 75751-3325 | 2014-10-30 |
| 1275962409 | Manda Herring | Social Worker | 700 S Palestine St, Athens, TX 75751-3325 | 2013-11-07 |
| 1215362470 | Donna Elaine Parks | Counselor | 700 S Palestine St, Athens, TX 75751-3325 | 2013-09-06 |
| 1093029951 | East Texas Psychological Services, Pllc | Psychologist | 700 S Palestine St, Athens, TX 75751-3325 | 2010-08-03 |
| 1588846034 | Etpns | Psychologist | 700 S Palestine St, Athens, TX 75751-3325 | 2007-11-27 |
| 1891989216 | Lisa Anne Jesionek | Hearing Instrument Specialist | 700 S Palestine St, Athens, TX 75751-3325 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414810 | Morghan Jungman | Physical Therapy Assistant | 6444 South Palestine St, Athens, TX 75751 | 2020-04-01 |
| 1497313340 | Rebecca Lynne Moehlenbrock | Physical Therapy Assistant | 711 Lucas Dr., Athens, TX 75751 | 2019-06-04 |
| 1013487669 | Jammie Jae Chaney | Licensed Vocational Nurse | 207 Colonial Circle, Athens, TX 75751 | 2018-11-27 |
| 1215423397 | Valarie M Chambless | Registered Nurse | 1505 Hwy. 19 South, Athens, TX 75751 | 2018-07-02 |
| 1609378181 | Jennifer Lynn Griffith | Occupational Therapist | 907 S Palenstine St., Athens, TX 75751 | 2018-03-01 |
| 1285931832 | Leonard J Barbarisi | Surgery | 6444 S Palestine, Athens, TX 75751 | 2011-02-17 |
| 1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
| 1851527550 | Jordan Risinger | Dentist | 800 S. Palestine St., Athens, TX 75751 | 2009-06-08 |
| 1306005798 | Shawn Tai | Internal Medicine | 115 Medical Cir Ste 106, Athens, TX 75751 | 2008-06-02 |
| 1083730683 | Assisted Living Concepts Inc | Assisted Living Facility | 213 Cayuga Drive, Athens, TX 75751 | 2007-03-22 |
| Find all providers in zip 75751 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251187 | Kara Archer | Counselor | 224 Columbus Rd # 724, Athens, OH 45701-1334 | 2020-10-06 |
| 1235696766 | Lotus Counseling Services of Athens, LLC | Counselor | 545 Research Dr Ste B, Athens, GA 30605-2745 | 2019-02-20 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1306344148 | Patsy Marie Jackson | Counselor | 847 Highway 154, Athens, LA 71003-3103 | 2018-01-26 |
| 1497297816 | Hannah Hall | Counselor | 367 Prince Ave Ste G, Athens, GA 30601-2471 | 2016-11-16 |
| 1477919199 | Bethany L. Fulton | Counselor | 530 W Union St Ste D, Athens, OH 45701-8303 | 2016-01-11 |
| 1568827616 | Wounded Healers Energy Center, LLC | Counselor | 187 E State St Ste C, Athens, OH 45701-1764 | 2015-12-16 |
| 1356715171 | Brandon Humphries | Counselor | 704 W Madison Ave, Athens, TN 37303-3428 | 2015-11-17 |
| 1245604164 | Jolie Daigle | Counselor | 232 Hidden Spring Way, Athens, GA 30605-5745 | 2015-11-16 |
| 1649664046 | Teresa Jan Thompson | Counselor | 2371 Green Gate Rd, Athens, TX 75752-5168 | 2015-03-24 |
| Find all providers in ATHENS | ||||
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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.