KC CREEK EQUESTRIAN, LLC


Address: 9906 Cr 468 W, Henderson, TX 75654
Phone: 9036461326

KC CREEK EQUESTRIAN, LLC (NPI# 1174086714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174086714
Entity Type Organization
Organization Name KC CREEK EQUESTRIAN, LLC
Practice Address 9906 Cr 468 W
Henderson
TX 75654
Mailing Address 115 E Main St
Henderson
TX 75652-3167
Practice Telephone 9036461326
Practice Fax Number 9033928267
Mailing Telephone 9036461326
Mailing Fax Number 9033928267
Enumeration Date 2019-04-10
Last Update Date 2019-04-10
Authorized Official Name DR. LACI MORGAN (PSYCHOLOGIST)
Authorized Official Telephone 9036461326
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 9906 CR 468 W
City HENDERSON
State TX
Zip Code 75654

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1073940227 Amberly Hopson Nurse Practitioner 1115 U.S. 259, Henderson, TX 75654 2013-10-02
1790002632 Chris Cummings Marriage & Family Therapist 1048 County Road 306d, Henderson, TX 75654 2010-05-03
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1861678146 Crystal Cloutier Occupational Therapy Assistant 2009 Price St, Henderson, TX 75654 2008-01-16
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215546221 Christeen Sonaly Silva Psychologist 981 Whitney Ranch Dr Apt 826, Henderson, NV 89014-2570 2020-07-26
1497161392 Janell Marie Mihelic Psychologist 660 Finch Island Ave, Henderson, NV 89015-6637 2014-07-11
1760769764 Jennifer Dawn Karmely Psychologist 12231 S Eastern Ave Ste 140, Henderson, NV 89052-4415 2011-11-04
1538459722 Christina A Patterson Psychologist 2460 Paseo Verde Pkwy Ste 100, Henderson, NV 89074-7136 2011-04-09
1942449806 Richard H Pratt Phd Ltd Psychologist 701 N Green Valley Pkwy # 293, Henderson, NV 89074-6177 2009-02-16
1710124193 Nicole Josephine Williams-myers Psychologist 2831 Saint Rose Pkwy Ste 200, Henderson, NV 89052-4841 2009-01-07
1831376771 Leah Wingeart Psychologist 1977 Via Firenze, Henderson, NV 89044-0256 2008-01-23
1972795680 Comprehensive Psychological Services LLC Psychologist 1335 Bayleaf Terrace Ave, Henderson, NV 89014-8867 2007-08-16
1457565434 Patricia Barrera Psychologist 701 N Green Valley Pkwy, Suite 200, Henderson, NV 89074-6177 2007-05-09
1699832857 Camilla Rogers Psychologist 943 W Andrews Ave Ste P, Henderson, NC 27536-2587 2007-01-03
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Competitor

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City HENDERSON
Zip Code 75654

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Dataset Information

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.

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