BRANDI DIAZ DELEON (NPI# 1740826874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740826874 |
| Entity Type | Individual |
| Full Name | BRANDI DIAZ DELEON |
| Credential | L.A.C. |
| Practice Address |
2904 Arkansas Blvd Texarkana AR 71854-2536 |
| Mailing Address |
2904 Arkansas Blvd Texarkana AR 71854 |
| Practice Telephone | 8707734655 |
| Mailing Telephone | 8707734655 |
| Mailing Fax Number | 8707724650 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | A2009113 | AR | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760951552 | Brandi Renee Deleon | Nurse's Aide | 720 14th Ave, Longview, WA 98632-2315 | 2018-11-21 |
| Street Address |
2904 ARKANSAS BLVD |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478434 | Sharon C Howard | Psychologist | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2005-06-24 |
| 1649893991 | Kaitlyn Renee Yancey | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-05-21 |
| 1417578154 | Carrie Ann James | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-05-05 |
| 1144857996 | Elizabeth Claire Hardy | Nurse Practitioner | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-03-23 |
| 1992330435 | Reagen Richburg | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2020-03-05 |
| 1396382412 | Symone Autrey | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-12-09 |
| 1376186700 | Michael V Cao | Counselor | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-10-17 |
| 1013568948 | Austin Bailey Newkirk | Case Manager/Care Coordinator | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-09-23 |
| 1144879404 | Shannon Freeman | Counselor | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-09-10 |
| 1679127450 | Donterries L Alexander | Peer Specialist | 2904 Arkansas Blvd, Texarkana, AR 71854-2536 | 2019-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278384 | Tre Jones | Counselor | 1406 N Fm 2148, Texarkana, TX 75501-0351 | 2017-11-15 |
| 1841641800 | Brittany M Robinson | Counselor | 2435 College Dr, Texarkana, TX 75501-2788 | 2016-06-30 |
| 1649633652 | James Michael Hargrave Sr. | Counselor | 3608 Melody Ln, Texarkana, TX 75503-0884 | 2016-03-29 |
| 1427453992 | Brian Adams | Counselor | 4016 Buchanan Rd, Texarkana, TX 75501-7584 | 2014-10-27 |
| 1376959122 | Maria Sanson | Counselor | 4613 Parkway Dr Ste 6, Texarkana, AR 71854-1142 | 2014-07-01 |
| 1194146100 | William James Eldridge Jr. | Counselor | 6610 Palisades Dr, Texarkana, TX 75503-4972 | 2013-12-17 |
| 1164867784 | Lisa Cunningham Love | Counselor | 4093 Summerhill Sq, Texarkana, TX 75503-2768 | 2013-05-09 |
| 1306177969 | Jenna Maedean Burns | Counselor | 25 Treebark Dr, Texarkana, AR 71854-9743 | 2010-01-21 |
| 1811130115 | Sandra Shoulders | Counselor | 1180 Old Redwater Rd, Texarkana, TX 75501-2253 | 2009-04-16 |
| 1992943286 | Betty J Feir Phd Lpc Group | Counselor | 5501 Medical Parkway Dr, Texarkana, TX 75503-4624 | 2009-01-26 |
| Find all providers in TEXARKANA | ||||
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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.