WALLACE PLACE IN THE PINES


Address: 1706 Davis Ave, Livingston, TX 77351-2004
Phone: 9362234542

WALLACE PLACE IN THE PINES (NPI# 1194382374) 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) 1194382374
Entity Type Organization
Organization Name WALLACE PLACE IN THE PINES
Other Organization Name WALLACE PLACE IN THE PINES
Practice Address 1706 Davis Ave
Livingston
TX 77351-2004
Practice Telephone 9362234542
Mailing Telephone 9362234542
Enumeration Date 2019-05-23
Last Update Date 2019-06-04
Authorized Official Name BARBARA ANN WALLACE (OWNER)
Authorized Official Telephone 9366625617
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 102X00000X Poetry Therapist Behavioral Health & Social Service Providers
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities
N 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities
N 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Respite Care Facility
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Wallace Place In The Pines Former Legal Business Name - Organization

Office Location

Street Address 1706 DAVIS AVE
City LIVINGSTON
State TX
Zip Code 77351-2004

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881252765 B&g Family Dentistry Pllc Clinic/Center 402 S Washington Ave, Livingston, TX 77351 2019-06-05
1518431907 Clinton Jarell Collins Occupational Therapist 1620 Us-59 N, Livingston, TX 77351 2019-01-18
1205318417 Christopher Hern Nurse Practitioner 1717 Us-59 Loop N, Livingston, TX 77351 2018-09-04
1831566520 Susan Michelle Brownfield Occupational Therapist 1620 Old Us Hwy 59, Livingston, TX 77351 2015-08-28
1346643624 Jigneshkumar Parmar Dentist 1774 Us 190 West, Livingston, TX 77351 2014-10-01
1063827954 Faith Whatley-torres Behavioral Analyst 144 Branding Iron, Livingston, TX 77351 2014-06-30
1427481126 Mary Elizabeth Kuruvilla Dentist 184 Ashton Bend, Livingston, TX 77351 2013-08-16
1255772778 Waleed Khaled Ahmad Dentist 117 Southpoint Lane, Suite 400, Livingston, TX 77351 2013-07-12
1053750679 Jacquelyn Y Flores Dentist 1114 N. Washingtion Ave., Livinston, TX 77351 2013-06-17
1750725131 Womans Clinic At Livingston Pllc Radiology 111 Emergency Dr., Ste C, Livingston, TX 77351 2013-04-29
Find all providers in zip 77351

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700033214 New Life Supportive Living, LLC. Community Based Residential Treatment Facility, Mental Illness 201 Clark St, Livingston, TN 38570-1608 2008-08-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538778410 Inspired Community Living Community Based Residential Treatment Facility, Mental Illness 1108 Millspaugh St, San Angelo, TX 76901-2342 2020-07-27
1265058143 Bam House Community Based Residential Treatment Facility, Mental Illness 9710 Military Pkwy Apt 136, Dallas, TX 75227-4801 2020-06-17
1699394320 Thaddeus Gibson Community Based Residential Treatment Facility, Mental Illness 15638 Western Skies Dr, Houston, TX 77086-1169 2020-04-13
1346875705 Grace Caring Angels Inc. Community Based Residential Treatment Facility, Mental Illness 11515 Chariot Dr, Stafford, TX 77477-1214 2020-03-05
1992340541 Abegail Human Services Community Based Residential Treatment Facility, Mental Illness 230 Hackney Dr, Waxahachie, TX 75165-1202 2019-11-07
1073098075 Expert Living Services Inc Community Based Residential Treatment Facility, Mental Illness 17014 Blue Mist Dr, Sugar Land, TX 77498-1957 2018-09-26
1760961734 Sharion Lenese White Community Based Residential Treatment Facility, Mental Illness 12514 Berry Laurel Lane, Houston, TX 77014 2018-08-10
1356837934 X'zavier O Payne Community Based Residential Treatment Facility, Mental Illness 420 N State Highway 360 Apt 2214, Mansfield, TX 76063-8716 2018-07-06
1972003192 Ateam & Associates, LLC Community Based Residential Treatment Facility, Mental Illness 7 Supiro Dr, Manvel, TX 77578-3378 2018-02-14
1891234134 Graceland Personal Care Homes, Inc Community Based Residential Treatment Facility, Mental Illness 2625 County Road 302, Carthage, TX 75633-4103 2017-02-20
Find all providers with the same taxonomy

Competitor

Search similar providers

City LIVINGSTON
Zip Code 77351

Improve Information

Please comment or provide details below to improve the information on WALLACE PLACE IN THE PINES.

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.

Trending Searches