DR. LARRY AL WILSON (NPI# 1801819495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801819495 |
| Entity Type | Individual |
| Full Name | DR. LARRY AL WILSON |
| Credential | PH.D. |
| Practice Address |
2708 E Tanager Trl Orange TX 77632-0750 |
| Practice Telephone | 4092916066 |
| Practice Fax Number | 9039384749 |
| Mailing Telephone | 4092916066 |
| Mailing Fax Number | 9039384749 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
14885 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750869285 | Larry Colenzo Wilson | Counselor | 6224 N Inwood Rd, Shreveport, LA 71119-7213 | 2018-08-06 |
| 1992171086 | Larry Wilson | Chiropractor | 800 W Platt St Ste 2, Tampa, FL 33606-4112 | 2015-08-12 |
| 1528211232 | Larry James Wilson | Social Worker | 1572 Zephyr Ave, El Cajon, CA 92021-3560 | 2008-10-25 |
| 1538344908 | Larry Dwight Wilson Jr. | Counselor | 3020 18th St Suite 17, Catholic Charities, Columbus, NE 68601-4254 | 2008-01-04 |
| 1689749582 | Larry Flick Wilson | Preventive Medicine | Faa, Ace-300, 901 Locust Street, Rm 350, Kansas City, MO 64106 | 2006-11-24 |
| 1932297892 | Larry Don Wilson | Dentist | 2247 Helton Dr, Florence, AL 35630-1063 | 2006-10-10 |
| 1275541344 | Larry Bertram Wilson | Dentist | 721 W Arapaho Rd, #102, Richardson, TX 75080-4155 | 2006-08-04 |
| 1134121221 | Larry T Wilson | Family Medicine | 701 S Morgan Ave, Andrews, SC 29510 | 2005-06-02 |
| 1063918167 | Larry Wilson | Case Manager/Care Coordinator | 418 Center St, Wheelersburg, OH 45694-1712 | 2018-04-05 |
| 1801390273 | Larry Greg Wilson | Case Manager/Care Coordinator | 115 Private Road 977, Pedro, OH 45659-8608 | 2018-03-21 |
| Street Address |
2708 E TANAGER TRL |
| City | ORANGE |
| State | TX |
| Zip Code | 77632-0750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225219090 | Summit Clinical Services Pllc | Counselor | 2708 E Tanager Trl, Orange, TX 77632-0750 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205085164 | Dr. Hamid Reza Jalali, D.o., P.a. | General Practice | 11946 Hwy 62 North, Orange, TX 77632 | 2008-09-16 |
| 1831331669 | Darla Brister | Physical Therapist | 1504 Buckingham Dr, Orange, TX 77632-0425 | 2009-03-25 |
| 1932323094 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 1309 Nottingham Dr, Orange, TX 77632-0449 | 2007-04-12 |
| 1912304817 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1309 Nottingham Dr, Orange, TX 77632-0449 | 2014-11-21 |
| 1578847786 | Access Home Health Services | Home Health | 1810 W Luther Dr, Orange, TX 77632-1012 | 2011-10-06 |
| 1700179488 | Maria Elaline Hebert | Speech-Language Pathologist | 5723 Meeks Dr, Orange, TX 77632-1019 | 2011-05-27 |
| 1427605419 | Karen Marie Medlock | Social Worker | 10100 Fm 1130, Orange, TX 77632-1081 | 2019-08-23 |
| 1093958837 | Venkatesh C. S. Srinibasa Murphy | Speech-Language Pathologist | 1905 Thousand Oaks Dr, Orange, TX 77632-1214 | 2009-04-09 |
| 1083838742 | Golden Triangle Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 1924 Thousand Oaks Dr, Orange, TX 77632-1215 | 2007-04-12 |
| 1821495722 | Developmental Disabilities Management Services of Beaumont, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1924 Thousand Oaks Dr, Orange, TX 77632-1215 | 2014-11-21 |
| Find all providers in zip 77632 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293852 | Katherine Louise Sainz | Counselor | 1855 W Katella Ave Ste 105, Orange, CA 92867-3451 | 2020-07-24 |
| 1578186946 | David Sobel | Counselor | 1544 E Palm Ave, Orange, CA 92866-1227 | 2020-05-20 |
| 1285268433 | Karen Chavez | Counselor | 11762 S Rancho Santiago Blvd Apt 14, Orange, CA 92869-3033 | 2020-02-26 |
| 1467096719 | Valarie Jeanette Hunt-parrish | Counselor | 401 S Tustin St # Std, Orange, CA 92866-2550 | 2019-10-30 |
| 1710459466 | Barry L Wasserman | Counselor | 266 Currier Dr, Orange, CT 06477-2920 | 2018-12-19 |
| 1700356151 | Meghan Nicole Montgomery | Counselor | 218 W Lincoln Ave, Orange, CA 92865-1019 | 2018-11-28 |
| 1326514290 | Wali Abdul Hanifzai | Counselor | 2854 N Santiago Blvd Ste 200, Orange, CA 92867-1700 | 2018-10-18 |
| 1295237071 | Lindsey Matthews | Counselor | 640 Aspen Ln, Orange, CT 06477-2162 | 2018-03-07 |
| 1316458466 | Kate Patterson | Counselor | 711 E Vista Del Gaviota Ave, Orange, CA 92865-3427 | 2017-10-17 |
| 1083139059 | Randy Hope | Counselor | 1855 W Katella Ave #150, Orange, CA 92867 | 2017-08-10 |
| Find all providers in ORANGE | ||||
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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.