BONNIE CANTU (NPI# 1922549807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922549807 |
| Entity Type | Individual |
| Full Name | BONNIE CANTU |
| Credential | LPC |
| Practice Address |
2104 E 1st St Petersburg TX 79250 |
| Mailing Address |
Po Box 653 Petersburg TX 79250-0653 |
| Practice Telephone | 8065497112 |
| Mailing Telephone | 8065497112 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
73132 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679089312 | Bonnie Ashley Cantu | Specialist/Technologist | 720 E De La Rosa St, Del Rio, TX 78840-6734 | 2017-12-18 |
| 1265489934 | Bonnie Cantu | Registered Nurse | 2401 Ravine Way, Suite 200, Glenview, IL 60025-7645 | 2006-05-28 |
| Street Address |
2104 E 1ST ST |
| City | PETERSBURG |
| State | TX |
| Zip Code | 79250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457997850 | Kim Porter | Pharmacist | 1522 Main Street, Petersburg, TX 79250 | 2019-11-20 |
| 1336266642 | Petersburg Isd | Local Education Agency (LEA) | 1411 West 4th Street, Petersburg, TX 79250 | 2007-03-23 |
| 1891885364 | Porter Drug | Pharmacy | 1522 Main, Petersburg, TX 79250 | 2006-10-13 |
| 1144329616 | City of Petersburg | Ambulance | 1501 Main, Petersburg, TX 79250 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124663 | Vets Aide | Home Health Aide | 49 Walnut Blvd, Petersburg, VA 23805-2109 | 2020-11-03 |
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1740889872 | Tandrea Graham | Community Health Worker | 628 Old Wagner Rd, Petersburg, VA 23805-9319 | 2020-10-20 |
| 1235738394 | Hl Transportation Services LLC | Non-emergency Medical Transport (VAN) | 210 Walnut Blvd Apt 19, Petersburg, VA 23805-2054 | 2020-10-20 |
| 1265030217 | Alisha Rose Powell | Technician | 216 Clifftop Dr Apt 84, Petersburg, WV 26847-8893 | 2020-10-13 |
| 1063010155 | Kourtney Hendricks | Home Health Aide | 1641 Darby Dr, Petersburg, VA 23803-5331 | 2020-10-12 |
| 1396342895 | Stacey Reynolds Dahl | Nurse Practitioner | 103 Fram Treet, Petersburg, AK 99833-0589 | 2020-10-07 |
| 1174130397 | Upscale Home Care, LLC | Home Health | 325 Brown St Ste 131, Petersburg, VA 23803-4234 | 2020-09-30 |
| 1295341675 | Logan Mackenzie Willis | Technician | 216 Clifftop Dr Apt 86, Petersburg, WV 26847-8893 | 2020-09-21 |
| 1336755917 | Leap of Faith Adult Services LLC | Day Training, Developmentally Disabled Services | 528 Virginia Ave, Petersburg, VA 23803-5759 | 2020-09-19 |
| Find all providers in PETERSBURG | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124679147 | Supportive Solution LLC | Counselor | 325b Brown St, Petersburg, VA 23803-4247 | 2019-09-20 |
| 1083179451 | Amanda Hill | Counselor | 19531 Hunt Rd, Petersburg, IL 62675-6054 | 2019-02-09 |
| 1942778725 | Charity Kene Thompson | Counselor | 300 Addison Way Apt 5-1c, Petersburg, VA 23805-9180 | 2018-11-09 |
| 1427564202 | Felicia Michelle Smith | Counselor | 3555 S Crater Rd, Petersburg, VA 23805-9210 | 2017-12-15 |
| 1811447584 | Melissa O. Motley Moore | Counselor | 1920 Matoax Ave, Petersburg, VA 23805-2843 | 2016-10-06 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1629424353 | Jessica Lorita Thomas | Counselor | 20 W Bank St Ste 6, Petersburg, VA 23803-3279 | 2016-05-12 |
| 1306270012 | Catherine Bockmier-sommers | Counselor | 21799 Hideaway Estates Rd, Petersburg, IL 62675-6282 | 2013-08-29 |
| 1588944151 | The Outreach Foundation, LLC | Counselor | 20 E Tabb St, Suite 201, Petersburg, VA 23803-4541 | 2011-08-26 |
| 1376843698 | Shahneese Wright Hall | Counselor | 700 S Sycamore St Ste 6, Petersburg, VA 23803-5803 | 2010-11-02 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 79250 |
Please comment or provide details below to improve the information on BONNIE CANTU.
| 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.