WELLSPRING ADDICTION RECOVERY LLC (NPI# 1760899298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760899298 |
Entity Type | Organization |
Organization Name | WELLSPRING ADDICTION RECOVERY LLC |
Practice Address |
7707 Fannin St Suite 207 Houston TX 77054-1926 |
Practice Telephone | 4124346700 |
Practice Fax Number | 4124346710 |
Mailing Telephone | 4124346700 |
Mailing Fax Number | 4124346710 |
Enumeration Date | 2014-07-16 |
Last Update Date | 2014-11-10 |
Authorized Official Name | GREGORY ROSCOE (CEO) |
Authorized Official Telephone | 4124786736 |
Authorized Official Credential | MHA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
Street Address |
7707 FANNIN ST SUITE 207 |
City | HOUSTON |
State | TX |
Zip Code | 77054-1926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447257530 | Kristin A Moore | Allergy & Immunology | 7707 Fannin St, Ste 195, Houston, TX 77054-1989 | 2005-07-05 |
1063846970 | Wyneatte Lachina Fox | Marriage & Family Therapist | 7707 Fannin St, Suite 107, Houston, TX 77054-1926 | 2013-08-27 |
1205274339 | Arnold J Wolf Dpm | Podiatrist | 7707 Fannin St, Suite 250, Houston, TX 77054-1926 | 2013-06-11 |
1972845527 | Amerigene Pgt, LLC | Clinical Medical Laboratory | 7707 Fannin St, Houston, TX 77054-1926 | 2013-03-21 |
1518232487 | Texas Medical Toxicology, LLC | Clinical Medical Laboratory | 7707 Fannin St, Ste 290, Houston, TX 77054-1926 | 2012-03-12 |
1073823811 | Lisa Adams Dargel | Physician Assistant | 7707 Fannin St, Suite 100, Houston, TX 77054-1926 | 2010-10-14 |
1609107267 | Southampton Medical Imaging LLC | Radiology | 7707 Fannin St, Suite 159, Houston, TX 77054-1926 | 2010-01-21 |
1386974590 | Catrin Ann Glynn | Counselor | 7707 Fannin St, Ste 205, Houston, TX 77054-1926 | 2010-01-11 |
1598997256 | Susan Omwanghe Edionwe | Otolaryngology | 7707 Fannin St, Suite 195, Houston, TX 77054-1926 | 2009-08-13 |
1215168505 | J & H Enterprise Inc | Pharmacy | 7707 Fannin St, Ste 105, Houston, TX 77054-1926 | 2009-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
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Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255949152 | Angelica Rosas-torres | Specialist | 9810 Brick Village Dr, Houston, TX 77095-5072 | 2020-07-16 |
1689202004 | Bayou Surgical Assistants Inc | Specialist | 121 N Post Oak Ln Apt 2204, Houston, TX 77024-7717 | 2020-03-31 |
1588290761 | Jim Gigante | Specialist | 5607 Fountainbridge Ln, Houston, TX 77069-1917 | 2020-03-19 |
1043840044 | Valerie Pedraza | Specialist | 9802d Ella Blvd, Houston, TX 77038-3030 | 2020-01-19 |
1386200178 | Thaddieus A Reed | Specialist | 3605 Wilmington St, Houston, TX 77051-3248 | 2019-05-16 |
1437617545 | Wellness Institute of Neurodevelopment | Specialist | 5757 Woodway Dr Ste 190, Houston, TX 77057-1526 | 2019-03-07 |
1275098568 | Idoc Virtual Telehealth Texas | Specialist | 2311 W Main St, Houston, TX 77098-3218 | 2019-01-31 |
1326531708 | Houston Neurology Clinical & Diagnostic Consultants Company | Specialist | 1313 La Concha Ln Ste 130, Houston, TX 77054-1809 | 2018-06-11 |
1154840908 | Webster Diagnostics, Pllc | Specialist | 18333 Egret Bay Blvd Ste 200, Houston, TX 77058-3200 | 2017-09-13 |
1093242166 | Cns Medical Group | Specialist | 6238 Rietta St, Houston, TX 77016-4338 | 2017-05-18 |
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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.