PEER SUPPORT OF TEXAS LLC (NPI# 1972152551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972152551 |
| Entity Type | Organization |
| Organization Name | PEER SUPPORT OF TEXAS LLC |
| Practice Address |
1801 N Hampton Rd Ste 272 Desoto TX 75115-2391 |
| Practice Telephone | 4692221200 |
| Mailing Telephone | 4692221200 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | CINDY JOHNSON (OWNER PARTNER) |
| Authorized Official Telephone | 4692221200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1801 N HAMPTON RD STE 272 |
| City | DESOTO |
| State | TX |
| Zip Code | 75115-2391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860257 | Emeka Abazie Dds Pa | Dentist | 1001 N. Beckley, Suite 304, Desoto, TX 75115 | 2020-10-30 |
| 1407453384 | Heather Mcdowell | Massage Therapist | 100 Bob White St # 3, Desoto, TX 75115 | 2020-10-05 |
| 1295201580 | Daniel Max & Marcandrea, LLC | Optometrist | 1309 E. Pleasant Run Rd, Desoto, TX 75115 | 2018-10-15 |
| 1316432180 | Texas Home Health Group of De Soto, LLC | Home Health | 911 York Drive, Suite 203, De Soto, TX 75115 | 2018-06-25 |
| 1033606694 | Dental Health Associates of Texas, PC | Dentist | 1001 N Beckley, Desoto, TX 75115 | 2018-04-19 |
| 1023516093 | Joseph Chinaecherem Anya | Pharmacist | 805 Raintree Ln, Desoto, TX 75115 | 2018-01-25 |
| 1396253837 | Medical Care Innovation, P.C. | Clinic/Center | 2019 N Interstate 35 E, Desoto, TX 75115 | 2018-01-18 |
| 1124534888 | Herlonda Dotson | Counselor | 620 Candelila Drive, Desoto, TX 75115 | 2017-12-18 |
| 1053839548 | Floristene Johnson | Nutritionist | 1353 Armstrong Drive, Desoto, TX 75115 | 2017-09-05 |
| 1699290577 | Dlb Pharmacy LLC | Pharmacy | 1801 N Hampton, Suite 340, Desoto, TX 75115 | 2017-08-11 |
| Find all providers in zip 75115 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515238 | Jennifer Cannon | Peer Specialist | 26110 White Sage Cove Ln, Spring, TX 77386-3944 | 2020-10-09 |
| 1972133270 | Lisa Marie Hickey | Peer Specialist | 2004 Running Brook Ln, Pearland, TX 77584-6778 | 2020-01-25 |
| 1275171183 | Derrick Iozzio | Peer Specialist | 10717 Quartz St, El Paso, TX 79924-1644 | 2019-12-11 |
| 1144865809 | Medella Healthcare, Inc. | Peer Specialist | 10420 Montwood Dr Ste N108, El Paso, TX 79935-2701 | 2019-11-16 |
| 1295394419 | Willie Charles Brantley | Peer Specialist | 3501 Brewster St, Houston, TX 77026-4446 | 2019-06-11 |
| 1629581491 | Map Care Solutions, LLC | Peer Specialist | 1114 Lost Creek Blvd Ste 500, Austin, TX 78746 | 2017-11-14 |
| 1083149835 | Kathryn Cordell | Peer Specialist | 2400 Greenbriar Road, Gatesville, TX 76528 | 2017-04-28 |
| 1871114454 | Courtney B Nixon | Peer Specialist | 1013 Delesandri Ln, Kemah, TX 77565-3142 | 2020-05-05 |
| 1174143051 | Joseph Lee Kastigar | Peer Specialist | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2020-04-21 |
| 1902445653 | Lazaro James Seriale | Peer Specialist | 7500 Plum Creek Dr Apt 4512, Houston, TX 77012-4022 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
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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.