DEIDRA HARBOUR (NPI# 1194342741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194342741 |
| Entity Type | Individual |
| Full Name | DEIDRA HARBOUR |
| Credential | LPC |
| Practice Address |
3824 N University Dr Nacogdoches TX 75965-2011 |
| Mailing Address |
3511 Pearl St Nacogdoches TX 75965-2457 |
| Practice Telephone | 9365586202 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
13386 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3824 N UNIVERSITY DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043718133 | Stephanie Knott | Counselor | 4632 Ne Stallings Dr Ste 100, Nacogdoches, TX 75965-1621 | 2018-01-24 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1184011488 | Tiffany Telesca | Counselor | 320 North St Ste 203, Nacogdoches, TX 75961-5018 | 2015-04-24 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| 1053747410 | Sarah Joy Wilson | Counselor | 17053 Us Highway 259, Nacogdoches, TX 75965-8316 | 2013-09-17 |
| 1720355639 | Sheri A Mullican | Counselor | 210 County Road 2041, Nacogdoches, TX 75965-0466 | 2011-11-20 |
| 1770881500 | Binta Yaisa Brown | Counselor | 115 Esther Blvd, # C, Nacogdoches, TX 75964-6739 | 2011-03-02 |
| 1346547338 | Jennifer J. Ewing | Counselor | 1812 Springbrook St, Nacogdoches, TX 75965-2162 | 2011-02-28 |
| 1912223652 | Horizon Counseling and Educational Services, LLC | Counselor | 220 E California St, Nacogdoches, TX 75965-3528 | 2010-04-19 |
| 1922247089 | Betty Hignite | Counselor | 4623 Lady Elaine Dr, Nacogdoches, TX 75965-0995 | 2009-02-13 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
Please comment or provide details below to improve the information on DEIDRA HARBOUR.
| 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.