ALTHEA MIXON


Address: Spur 156, Suite 415, Waskom, TX 75692-0832
Phone: 9034073136

ALTHEA MIXON (NPI# 1750531216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750531216
Entity Type Individual
Full Name ALTHEA MIXON
Other Name ALTHEA ROELAND
Credential L.P.C.
Practice Address Spur 156
Suite 415
Waskom
TX 75692-0832
Mailing Address Po Box 832
Waskom
TX 75692-0832
Practice Telephone 9034073136
Practice Fax Number 9036874100
Mailing Telephone 9036874100
Mailing Fax Number 9036874100
Enumeration Date 2008-09-22
Last Update Date 2008-09-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
16077 TX Behavioral Health & Social Service Providers

Office Location

Street Address SPUR 156
SUITE 415
City WASKOM
State TX
Zip Code 75692-0832

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NPI Name Taxonomy Address Enumeration
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1346443827 Complete Approach Home Health Care, LLC Home Health 202 West Texas Ave, Waskom, TX 75692 2007-06-11
1386762094 Frank Mcilwain Optometrist 620 Interstate 20 Service Road, Waskom, TX 75692-0236 2007-03-27
1043300403 Waskom Volunteer Fire Department and Ems Services Inc Ambulance 185 East Texas Ave, Waskom, TX 75692-1757 2006-10-13
1851622393 Buddy Roger Siebenlist Radiology 757 Bellview Rd, Waskom, TX 75692-3425 2010-01-22
1003218124 Wal-mart Stores Texas LLC Durable Medical Equipment & Medical Supplies 1005 E Texas Ave, Waskom, TX 75692-3652 2014-09-19
1033390984 Dedria Bryan Occupational Therapist 476 Marcelene Dr, Waskom, TX 75692-6814 2007-11-20
1447750021 Mereya Botello Registered Nurse 234 Don Long Rd, Waskom, TX 75692-7014 2018-02-20
1457820722 Alisha Denise Head Occupational Therapy Assistant 658 Boggy Rd, Waskom, TX 75692-7441 2018-11-16
1053933929 Nataliamarie Farr Counselor Ascend Behavioral Health Services 495 Spur 156, Waskom, TX 75692-7520 2020-05-13
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1932709482 Alexxis Nicole Warford Counselor 505 W University Ave Ste 105, Georgetown, TX 78626-6643 2020-10-26
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Competitor

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City WASKOM
Zip Code 75692

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Dataset Information

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.

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