PROACTIVE INTERVENTIONS, LLC (NPI# 1821592569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821592569 |
| Entity Type | Organization |
| Organization Name | PROACTIVE INTERVENTIONS, LLC |
| Practice Address |
8955 Broadway St Apt 10184 Houston TX 77061-3052 |
| Practice Telephone | 2252848671 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Authorized Official Name | DR. JOHNALYNN MORAN JACKSON (OWNER/CEO) |
| Authorized Official Telephone | 2252848671 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1679087308 | 05 |
| Street Address |
8955 BROADWAY ST APT 10184 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77061-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714763 | Tamisha E Vital | Social Worker | 8951 Ruthby Suite 6e, Houston, TX 77061 | 2020-09-09 |
| 1245843978 | Ralph Demar | Counselor | 8351 Ruthby St., #5e, Houston, TX 77061 | 2020-08-24 |
| 1750818795 | South Houston Chiropractic LLC | Chiropractor | 8101 Airport Blvd. Ste. A, Houston, TX 77061 | 2017-05-22 |
| 1871944678 | Odunayo Kajopelaye | Pharmacist | 290 Brisbane Road, Houston, TX 77061 | 2016-06-23 |
| 1316388358 | The Texas International Institute of Health Professions | Clinic/Center | 8121 Broadway Street, Suite 103, Houston, TX 77061 | 2013-07-06 |
| 1598001034 | Kathryn A Hale | Specialist | 8121 Broadway, Ste 103, Houston, TX 77061 | 2013-01-02 |
| 1023330511 | Louise A Weskob | Physical Therapist | 8405 Wynbrook, Houston, TX 77061 | 2010-02-24 |
| 1376740753 | Paula Jean West | Contractor | 8347 Doverst, Houston, TX 77061 | 2007-06-29 |
| 1063624237 | S & G Community Living Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7865 Pecan Villas, Houston, TX 77061 | 2007-05-03 |
| 1609982701 | Hans P Altinger | Obstetrics & Gynecology | 7620 Bellfort Ave, Houston, TX 77061 | 2006-08-22 |
| Find all providers in zip 77061 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749597 | Ebony Jackson | Counselor | 11510 Homestead Rd Ste 295, Houston, TX 77016-1237 | 2020-10-27 |
| 1306445143 | The Journey School of Houston | Counselor | 2025 W 11th St, Houston, TX 77008-6320 | 2020-10-22 |
| 1467059998 | D'jalon J Bell | Counselor | 1255 Eldridge Pkwy Apt 222, Houston, TX 77077-2163 | 2020-10-07 |
| 1770190100 | Amy Senftleber-makopoulos | Counselor | 3131 West Loop S Apt 529, Houston, TX 77027-6138 | 2020-09-29 |
| 1073120788 | Blossom Tree Counseling | Counselor | 14405 Walters Rd Ste 604, Houston, TX 77014-1551 | 2020-09-26 |
| 1174130280 | Candrea Lucas | Counselor | 1755 Crescent Plaza Dr Apt 3036, Houston, TX 77077-5766 | 2020-09-23 |
| 1710592902 | Cassandra Johnson | Counselor | 14318 Alaman Dr, Houston, TX 77090-2488 | 2020-09-14 |
| 1407467616 | Jennifer Aimee Mouille | Counselor | 7815 Capri Cir, Houston, TX 77095-3453 | 2020-08-11 |
| 1477163079 | Liason Conselining Service | Counselor | 5311 Kirby Dr Ste 101, Houston, TX 77005-1315 | 2020-08-07 |
| 1043828999 | Paulette Maureen Edwards | Counselor | 9419 Stonehouse Ln, Houston, TX 77025-4030 | 2020-07-16 |
| Find all providers in HOUSTON | ||||
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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.