DR. GLENNA MILLER WHITE (NPI# 1730190851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730190851 |
Entity Type | Individual |
Full Name | DR. GLENNA MILLER WHITE |
Credential | ED.D. |
Practice Address |
74070 F M 317 Athens TX 75752 |
Mailing Address |
74070 Fm 317 Athens TX 75752 |
Practice Telephone | 9036756434 |
Mailing Telephone | 9036756434 |
Enumeration Date | 2006-08-11 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101YP2500X |
Counselor Specialization: Professional |
9266 | TX | Behavioral Health & Social Service Providers |
X | 106H00000X | Marriage & Family Therapist | 001528-042399 | TX | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUE CROSS BLUE SHIELD | 1048-LC | 01 |
Street Address |
74070 F M 317 |
City | ATHENS |
State | TX |
Zip Code | 75752 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821064742 | Andrews Center | Counselor | 6901 S. Hwy 19, Athens, TX 75752 | 2006-02-28 |
1134120256 | Mark L Eldore | Obstetrics & Gynecology | 824 Southpark Circle, Athens, TX 75752 | 2005-08-10 |
1720534449 | Nurture Community Healthcare Center | Skilled Nursing Facility | 110 Waverly Way, Athens, TX 75752 | 2016-09-01 |
1831107028 | Mark L Eldore Md Pllc | Nurse Practitioner | 824 Southpark Circle, Athens, TX 75752 | 2006-08-03 |
1629044557 | Timothy Furlong | Psychiatry & Neurology | 6901 S. Hwy 19, Athens, TX 75752 | 2006-02-28 |
1003281999 | South Van Zandt Volunteer Fire Department, Inc | Emergency Medical Technician, Basic | 26306 State Highway 19 N, Athens, TX 75752-3704 | 2015-12-03 |
1780608323 | Andrwes Center/ Athens Place | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4875 Fm 2709, Athens, TX 75752-3807 | 2006-07-27 |
1063481380 | Kathy Wakefield | Counselor | 6091 State Highway 19 N, Athens, TX 75752-3983 | 2006-03-17 |
1770947186 | Joshua Cahan Felts | Specialist | 5900 County Road 3704, Athens, TX 75752-5045 | 2016-04-12 |
1740784990 | Brandon Dean Burkhalter | Technician | 7903 County Road 3704, Athens, TX 75752-5070 | 2018-03-22 |
Find all providers in zip 75752 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851906507 | Kaye Elizabeth Waldrep | Counselor | 330 Winterberry Dr, Athens, GA 30606-3208 | 2020-09-10 |
1669094314 | Erica Ashley Dell | Counselor | 1 Huntington Rd Ste 704, Athens, GA 30606-7215 | 2020-05-15 |
1871145235 | Jm Professional Counseling Services, Pllc | Counselor | 119 South Palestine St, Athens, TX 75751-8710 | 2019-07-15 |
1396225298 | Samuel Ray Evans | Counselor | 1135 Cedar Shoals Dr Ste B, Athens, GA 30605-5299 | 2018-08-20 |
1558848598 | Tara Thomas | Counselor | 545 Research Dr Ste D, Athens, GA 30605-2745 | 2018-07-23 |
1487151437 | Beth Porter | Counselor | 485 Huntington Rd Ste 196, Athens, GA 30606-1845 | 2018-04-06 |
1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
1134666845 | Teresa C Ruiz | Counselor | 585 Research Drive, Suite B, Athens, GA 30605-2761 | 2017-01-20 |
1659827673 | Latarious Clark | Counselor | 135 Brentwood Dr, Athens, GA 30605-3901 | 2016-08-30 |
1376996017 | Celina Vereen | Counselor | 2340 Prince Ave Ste B, Athens, GA 30606-6004 | 2016-07-18 |
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.