BLUE ANGELS THERAPEDS, LLC


Address: 1400 Rivery Blvd Apt 4116, Georgetown, TX 78628-3041
Phone: 5128003097

BLUE ANGELS THERAPEDS, LLC (NPI# 1952918682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952918682
Entity Type Organization
Organization Name BLUE ANGELS THERAPEDS, LLC
Practice Address 1400 Rivery Blvd Apt 4116
Georgetown
TX 78628-3041
Practice Telephone 5128003097
Mailing Telephone 5128003097
Enumeration Date 2020-09-27
Last Update Date 2020-09-27
Authorized Official Name AURICA GARZA (OWNER)
Authorized Official Telephone 5128003097
Authorized Official Credential BCBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 1400 RIVERY BLVD APT 4116
City GEORGETOWN
State TX
Zip Code 78628-3041

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NPI Name Taxonomy Address Enumeration
1164079760 Maegan Marissa Milliet Student in an Organized Health Care Education/Training Program 302 Rideg Run Dr, Georgetown, TX 78628 2019-08-20
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1679085401 Georgetown Emergency Physicians Pllc Clinic/Center 1210 W University Blvd, Georgetown, TX 78628 2017-11-02
1134631450 Meredith Rollins Hatcher Physician Assistant 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 2017-10-26
1588188304 Wolf Ranch Dental Group, PC Dentist 1135 West University Avenue, Georgetown, TX 78628 2017-08-02
1982066528 Imren Ozturk Family Medicine Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 2016-03-23
1093114100 Della Davis Hearing Instrument Specialist 1013 W. University Ave, Suite 122, Georgetown, TX 78628 2014-08-14
1083988125 Deann Reinshuttle Audiologist-Hearing Aid Fitter 3316 Williams Dr Ste 115, Georgetown, TX 78628 2012-03-07
1700195823 Zeyad B Mughrabi Dentist 1615 Williams Dr, Georgetown, TX 78628 2010-10-07
1497071534 Jeri Lynne Manhal Counselor 1618 Williams Dr., Suite 4, Georgetown, TX 78628 2010-04-14
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922632249 Bluegrass Behavioral School for Children Community/Behavioral Health 201 Champion Way Ste 2, Georgetown, KY 40324-8860 2020-02-25
1528629565 Blue Skies Counseling Community/Behavioral Health 216 N Race St, Georgetown, DE 19947-1409 2019-06-20
1528541398 The Stepping Stones Autism Group, LLC Community/Behavioral Health 225 San Matteo St, Georgetown, TX 78628-7032 2018-09-07
1386030922 Turning Point Psychological and Counseling Services Pllc Community/Behavioral Health 3011 Dawn Dr Ste 102, Georgetown, TX 78628-2827 2015-04-10
1306245758 American Best Practices, LLC Community/Behavioral Health 1232 Paris Pike, Georgetown, KY 40324-9701 2014-08-21
1588004626 Sussex Family Counseling LLC Community/Behavioral Health 26114 Kits Burrow Ct, Georgetown, DE 19947-5390 2013-07-03
1386998359 Sc Department of Juvenile Justice Community/Behavioral Health 120 Screven St, Georgetown, SC 29440-3642 2012-10-30
1518257328 Trinity Counseling Agency Community/Behavioral Health 152 Bertie Ave, Georgetown, SC 29440-8492 2011-04-13
1588989420 The Phoenix Group Community/Behavioral Health 11 Mae Pl, Georgetown, SC 29440-6034 2010-04-04
1689859381 Lifebridge Counseling Services, Pa Community/Behavioral Health 3613 Williams Dr Ste 301, Georgetown, TX 78628-1369 2008-01-02
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Competitor

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City GEORGETOWN
Zip Code 78628

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Dataset Information

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.

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