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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
1400 RIVERY BLVD APT 4116 |
City | GEORGETOWN |
State | TX |
Zip Code | 78628-3041 |
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 |
1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
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 |
Find all providers in zip 78628 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
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 |
Find all providers in GEORGETOWN |
City | GEORGETOWN |
Zip Code | 78628 |
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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.