MS. THERESA M BURBANK (NPI# 1083608988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083608988 |
| Entity Type | Individual |
| Full Name | MS. THERESA M BURBANK |
| Credential | MA LPC |
| Practice Address |
112 West Pauline Conroe TX 77301 |
| Practice Telephone | 9367601880 |
| Practice Fax Number | 9367609101 |
| Mailing Telephone | 9367601880 |
| Mailing Fax Number | 9367609101 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2010-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
15294 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1131716-02 | 05 |
| Street Address |
112 WEST PAULINE |
| City | CONROE |
| State | TX |
| Zip Code | 77301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669116 | Lois Talford | Technician | 907 Bellshire Dr. Apt 101, Conroe, TX 77301 | 2019-09-20 |
| 1033694187 | Rgt Dental Care | Dentist | 402 Simonton St. Suite 100, Conroe, TX 77301 | 2018-09-25 |
| 1942782396 | Traci Hines | Counselor | 1427 Apple Orchard Trail, Conroe, TX 77301 | 2018-09-02 |
| 1124507314 | Katie Marie Sandoval | Licensed Vocational Nurse | 602 W Semans St, Conroe, TX 77301 | 2018-08-09 |
| 1811475841 | Ihuoma Chinagorom Enyidede | Licensed Vocational Nurse | 602 W Semands Street, Conroe, TX 77301 | 2018-08-01 |
| 1336626779 | Nancy Mbongeh Ndamukong | Registered Nurse | 202 West Semands Street, Conroe, TX 77301 | 2018-07-27 |
| 1780172585 | Ingeborg Christina Meek | Registered Nurse | 6020 W. Semands Street, Conroe, TX 77301 | 2018-04-26 |
| 1902342926 | Gloria E Kessler | Counselor | 1101 N Thompson St, Conroe, TX 77301 | 2017-01-14 |
| 1770945412 | Standing Oak Homehealthcare LLC | Hospice Care, Community Based | 926 Fife, Conroe, TX 77301 | 2016-03-22 |
| 1316327117 | Ayaba Guiste | Dentist | 1154, 1002 N Loop 336 W, Conroe, TX 77301 | 2015-06-05 |
| Find all providers in zip 77301 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871032169 | Paula Curry | Counselor | 3513 North Frazier Street, Conroe, TX 77303 | 2017-02-20 |
| 1003244401 | Michelle L. Smith, Ma, Lpc | Counselor | 15200 Moonlight Trl, Conroe, TX 77384-3540 | 2013-10-22 |
| 1477721017 | Michel R Stamper | Counselor | 704 N Thompson St Ste 190, Conroe, TX 77301-2579 | 2008-02-18 |
| 1275680688 | Barbara Jean Flores | Counselor | 1110 N Loop 336 W Ste 330, Conroe, TX 77301-1197 | 2007-01-05 |
| 1518047364 | Ellen Suzanne Ferreira | Counselor | 702 N Thompson St, Conroe, TX 77301-2576 | 2006-10-16 |
| 1124132576 | Kimberly Ann Frenzel | Counselor | 19221 Interstate 45, Suite 440, Conroe, TX 77385 | 2006-08-19 |
| 1609817345 | Shunita Simone Young | Counselor | 510 Billie Bess Ln, Apt 116, Conroe, TX 77301-1303 | 2006-06-10 |
| 1710937594 | Lee Butcher Lancaster | Counselor | 513 N. Main St., Suite 118, Conroe, TX 77301 | 2006-05-11 |
| 1952928103 | Tarah Channan Cambron | Counselor | 15860 Old Conroe Rd, Conroe, TX 77384-3485 | 2020-07-02 |
| 1861018095 | Darly Sebastian | Counselor | 1006 Windsor Lakes Blvd Ste 200, Conroe, TX 77384-4975 | 2020-06-23 |
| Find all providers in CONROE | ||||
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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.