TRAUMA DETOX PLLC (NPI# 1043862246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043862246 |
| Entity Type | Organization |
| Organization Name | TRAUMA DETOX PLLC |
| Practice Address |
3613 Williams Dr Ste 1006 Georgetown TX 78628-1376 |
| Practice Telephone | 5127965059 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | DANIELLE WEST (MANAGING PARTNER) |
| Authorized Official Telephone | 5127965059 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
3613 WILLIAMS DR STE 1006 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628-1376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316506546 | Danielle Terryl West | Counselor | 3613 Williams Dr Ste 1006, Georgetown, TX 78628-1376 | 2019-06-11 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668803 | Gwendolyn Marie Dicapo | Counselor | 207 S Elm St, Georgetown, TX 78626-5042 | 2020-10-27 |
| 1841813003 | The Shepherds New Pathways, LLC | Counselor | 3003 Dawn Dr Ste 101, Georgetown, TX 78628-2800 | 2020-05-22 |
| 1982225025 | Crystal L Force | Counselor | 1400 Westinghouse Rd Apt 416, Georgetown, TX 78626-2364 | 2020-04-29 |
| 1952933087 | Richard Johnston | Counselor | 407 W University Ave Ste 200, Georgetown, TX 78626-6710 | 2020-02-06 |
| 1033762711 | Rachel Saenger and Associates, LLC | Counselor | 3613 Williams Dr Ste 804, Georgetown, TX 78628-1374 | 2019-07-22 |
| 1770143695 | Christine Michelle Williams | Counselor | 3613 Williams Dr Ste 302, Georgetown, TX 78628-1369 | 2019-06-13 |
| 1316506546 | Danielle Terryl West | Counselor | 3613 Williams Dr Ste 1006, Georgetown, TX 78628-1376 | 2019-06-11 |
| 1538724174 | Alison R Winger | Counselor | 200 Bevins Ln Ste E, Georgetown, KY 40324-8532 | 2019-05-09 |
| 1487116810 | Rebecca Mcgee | Counselor | 3613 Williams Dr Ste 901, Georgetown, TX 78628-1375 | 2019-04-04 |
| 1235600438 | Emily Kaye Kipp-wright | Counselor | 106 E 16th St, Georgetown, TX 78626-6904 | 2018-12-16 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
Please comment or provide details below to improve the information on TRAUMA DETOX PLLC.
| 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.