TINA RENAE HUSETH (NPI# 1902309487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902309487 |
Entity Type | Individual |
Full Name | TINA RENAE HUSETH |
Credential | LCDC |
Practice Address |
11849 County Road 461 Tyler TX 75706-4823 |
Practice Telephone | 9039207847 |
Practice Fax Number | 9036860394 |
Mailing Telephone | 9039207847 |
Mailing Fax Number | 9036860394 |
Enumeration Date | 2018-03-12 |
Last Update Date | 2018-03-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13554 | TX | Behavioral Health & Social Service Providers |
Street Address |
11849 COUNTY ROAD 461 |
City | TYLER |
State | TX |
Zip Code | 75706-4823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932729621 | Hayden Lee Heath Jr. | Behavioral Analyst | 14864 Harvey Road, Tyler, TX 75706 | 2020-04-22 |
1801210505 | Lone Star Day Program | Clinic/Center | 14864 County Road 433, Tyler, TX 75706 | 2014-02-17 |
1871611921 | James F. Crenshaw | Chiropractor | 13325 Hwy 69 N, Tyler, TX 75706 | 2007-03-27 |
1306986450 | Barbara M Pinson | Preventive Medicine | 11721 U S Highway 69 North, Tyler, TX 75706 | 2007-02-07 |
1942861547 | Russell Elliott | Social Worker | 18051 Fm 2015, Tyler, TX 75706-3130 | 2019-06-25 |
1588169619 | Cheyenne Brittany Barrington | Assistant Behavior Analyst | 14864 County Road 433, Tyler, TX 75706-3206 | 2018-03-29 |
1073087854 | Kinsey Renay Arnold | Registered Nurse | 12225 County Road 41, Tyler, TX 75706-3315 | 2019-01-15 |
1669820130 | Mikayla Ashlyn Moore | Specialist/Technologist | 14701 Copper Ridge Blvd, Tyler, TX 75706-3364 | 2016-05-25 |
1912126772 | Thurman Clifford Erwin Jr. | Dentist | 14824 County Road 35, Tyler, TX 75706-3435 | 2007-04-24 |
1821441122 | Adam Grer | Specialist/Technologist | 13019 County Road 412, Tyler, TX 75706-4027 | 2016-07-21 |
Find all providers in zip 75706 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124642798 | Erin Cameron | Counselor | 120 W 5th St Ste 105, Tyler, TX 75701-4053 | 2020-05-29 |
1376162354 | Noel M Slagle | Counselor | 114 Jordan Plaza Blvd, Tyler, TX 75704-2056 | 2020-04-10 |
1982256665 | Amy Lynn Chapmond | Counselor | 114 Jordan Plaza Blvd Ste 302306, Tyler, TX 75704-2056 | 2019-07-12 |
1063070209 | Susan Michele Whitaker | Counselor | The Beginning, 114 Jordan Plaza Blvd Suite 302, Tyler, TX 75704 | 2019-06-03 |
1477111995 | Alma Bluesummers | Counselor | 114 Jordan Plaza Blvd Ste 302, Tyler, TX 75704-2056 | 2019-05-30 |
1669937041 | Bonnie Ann Blattman Beaulieu | Counselor | 3400 Nne Loop 323 Trlr 34, Tyler, TX 75708-5607 | 2019-02-09 |
1821577628 | Jahn Quattlebaum | Counselor | 6200 Wilshire Dr, Tyler, TX 75703-4159 | 2018-08-13 |
1831684349 | Andrew Bednarek | Counselor | 1510 S. Vine Street, Tyler, TX 75771 | 2018-06-27 |
1811482581 | Robert M Parnell | Counselor | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2018-06-26 |
1538510409 | David S Haley | Counselor | 3800 Paluxy Dr Ste 137, Tyler, TX 75703-1652 | 2016-06-22 |
Find all providers in TYLER |
Please comment or provide details below to improve the information on TINA RENAE HUSETH.
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.