LYDIA CLEMMONS (NPI# 1093175317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093175317 |
Entity Type | Individual |
Full Name | LYDIA CLEMMONS |
Credential | LCDC |
Practice Address |
7517 Cameron Rd Ste 118 Austin TX 78752-2053 |
Practice Telephone | 5123584088 |
Practice Fax Number | 5125972954 |
Mailing Telephone | 5123584088 |
Mailing Fax Number | 5125972954 |
Enumeration Date | 2016-02-29 |
Last Update Date | 2016-02-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
9666 | TX | Behavioral Health & Social Service Providers |
Street Address |
7517 CAMERON RD STE 118 |
City | AUSTIN |
State | TX |
Zip Code | 78752-2053 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952779985 | Infinite Recovery LLC | Clinic/Center | 7517 Cameron Rd Ste 118, Austin, TX 78752-2053 | 2015-09-08 |
1124590989 | Amanda Beth Ramos | Counselor | 7517 Cameron Rd Ste 118, Austin, TX 78752-2053 | 2018-12-18 |
1497289730 | Leah Kaye Godfrey | Counselor | 7517 Cameron Rd Ste 118, Austin, TX 78752-2053 | 2017-04-13 |
1013462795 | Anna Warde | Counselor | 7517 Cameron Rd Ste 118, Austin, TX 78752-2053 | 2016-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255996807 | Jessica Wells | Social Worker | 313 East Anderson Lane, Suite 120, Austin, TX 78752 | 2019-05-08 |
1043702483 | Amelia Secord | Occupational Therapist | 7701 N Lamar, Suite 314, Austin, TX 78752 | 2018-06-01 |
1871082420 | J&w Vision Associates Pllc | Optometrist | 6929 Airport Blvd Ste 165, Austin, TX 78752 | 2018-05-08 |
1124539242 | The Refuge for Dmst | Counselor | 300 East Saint Johns Ave., Austin, TX 78752 | 2017-10-16 |
1639689441 | Sleep Cycle Center, LLC | Dentist | 7101 Easy Wind Dr Unit 3116, Austin, TX 78752 | 2017-10-06 |
1215458997 | Jose De Jesus Garcia-cuellar | Social Worker | 7701 N Lamar Blvd Ste 313, Austin, TX 78752 | 2017-07-03 |
1619415213 | Infinite Recovery LLC | Substance Abuse Rehabilitation Facility | 7517 Cameron Rd Ste #118, Austin, TX 78752 | 2017-02-03 |
1043756612 | Tse Transport Services | Non-emergency Medical Transport (VAN) | 7223 Creekside Drive, Austin, TX 78752 | 2017-01-06 |
1912442823 | Anesha Roshon Brown-morris | Massage Therapist | 6406 North Ih 35, Suite 2300, Suite 308, Austin, TX 78752 | 2016-12-31 |
1831540319 | Eva Dolores Sloan | Counselor | 500 East St. John's Ave, Austin, TX 78752 | 2016-06-27 |
Find all providers in zip 78752 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
1639770969 | Fadya Therapy Pllc | Counselor | 1452 Wild Basin Ldg, Austin, TX 78746-2700 | 2020-11-03 |
1669089504 | Tess Lenae Taylor | Counselor | 1205 Luna St, Austin, TX 78721-1229 | 2020-09-24 |
1053922682 | Texas Community Supervision Alternatives, LLC | Counselor | 6400 E Highway 290 Ste 200, Austin, TX 78723-1032 | 2020-08-17 |
1285252551 | Fundamentals of Recovery LLC | Counselor | 7509 Menchaca Rd Unit 301, Austin, TX 78745-6062 | 2020-07-13 |
1447883384 | Collin Speciale | Counselor | 6115 Mountain Villa Cv, Austin, TX 78731-3518 | 2020-02-19 |
1477104511 | Y. Diana Johnson | Counselor | 7901 Cameron Rd Ste 2-139, Austin, TX 78754-3802 | 2019-09-20 |
1083189930 | Jettie C Young | Counselor | 4101 Louise Lee Dr, Austin, TX 78725-4005 | 2018-10-08 |
1285112581 | Sara Galindo | Counselor | 1409 Sanchez St Unit A, Austin, TX 78702-1638 | 2018-07-30 |
1952896961 | Blanca Sanchez-navarro | Counselor | 3407 W Slaughter Ln Ste A, Austin, TX 78748-5715 | 2018-06-22 |
Find all providers in AUSTIN |
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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.