NEW LEAF WELLNESS CENTER (NPI# 1366796724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366796724 |
| Entity Type | Organization |
| Organization Name | NEW LEAF WELLNESS CENTER |
| Practice Address |
10921 Pellicano Dr Ste 110 El Paso TX 79935 |
| Mailing Address |
10921 Pellicano Dr Ste 110 El Paso TX 79935-4604 |
| Practice Telephone | 9153134114 |
| Practice Fax Number | 9153134939 |
| Mailing Telephone | 9153134114 |
| Mailing Fax Number | 9153134939 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. NOE LOPEZ (OWNER) |
| Authorized Official Telephone | 9153134114 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
66155 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2915829 | 05 |
| Street Address |
10921 PELLICANO DR STE 110 |
| City | EL PASO |
| State | TX |
| Zip Code | 79935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659833739 | Cecilia Camargo | Counselor | 10921 Pellicano Dr Ste 110, El Paso, TX 79935-4604 | 2019-04-05 |
| 1144784190 | Maria Esther Lopez | Counselor | 10921 Pellicano Dr Ste 110, El Paso, TX 79935-4604 | 2019-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093261604 | Julio Alcala | Radiologic Technologist | 10291 Pellicano Suite 102, El Paso, TX 79935 | 2016-09-01 |
| 1760841423 | Anant Shukla | Preventive Medicine | Mendoza Aviation Clinic (11335 Ssg Sims Blvd), El Paso, TX 79935 | 2016-02-23 |
| 1306249834 | Ector County Hospital District | Skilled Nursing Facility | 1599 Lomaland Drive, El Paso, TX 79935 | 2014-09-29 |
| 1164831079 | Elizabeth Espinoza | Pharmacist | 2112 Trawood, El Paso, TX 79935 | 2014-08-05 |
| 1396151759 | The Lasik Vision Institute LLC | Clinic/Center | 10961 Gateway, Suite 300, El Paso, TX 79935 | 2014-07-07 |
| 1427461896 | Henry Vu | Optometrist | 10961 Gateway West, Ste 300, El Paso, TX 79935 | 2014-06-03 |
| 1982947636 | Novoa Medical Services, Pa | Obstetrics & Gynecology | 10781 Pebble Hills, Suite A, El Paso, TX 79935 | 2013-04-01 |
| 1295980670 | Amy Latonia Hensley | Massage Therapist | 2278 Trawood Dr., Ste. C, El Paso, TX 79935 | 2008-11-26 |
| 1477752855 | Sunland Optical Co Inc | Durable Medical Equipment & Medical Supplies | 1156 Barranca, El Paso, TX 79935 | 2007-07-16 |
| 1245437425 | Jose Burgos | Internal Medicine | 10657 Vista Del Sol Dr Ste E, El Paso, TX 79935 | 2007-06-29 |
| Find all providers in zip 79935 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373456 | James Andy Jackson | Counselor | 14239 Charles Pollock Ave, El Paso, TX 79938-3197 | 2020-10-14 |
| 1063029320 | Elizabeth Sanchez Chagoyan | Counselor | 1201 Airway Blvd Ste C1, El Paso, TX 79925-3647 | 2020-09-30 |
| 1225644800 | Sandra Yvoone Mercado | Counselor | 3477 Angel Face Dr, El Paso, TX 79936-8213 | 2020-09-19 |
| 1346850062 | Amanda Geilenfeldt | Counselor | 1613 Larry Wadkins Dr, El Paso, TX 79936-5218 | 2020-08-06 |
| 1467061010 | Corina Doris Franck | Counselor | 13985 Sandy Rock Dr, El Paso, TX 79938-2607 | 2020-07-29 |
| 1669095154 | Veronica Aparicio | Counselor | 1605 George Dieter Dr Ste 636, El Paso, TX 79936-5692 | 2020-05-19 |
| 1841829199 | Traci Celeste Presley | Counselor | 444 E Robinson Ave Ste A, El Paso, TX 79902-2602 | 2020-04-07 |
| 1447888060 | Kerri Hubacker | Counselor | 5255 Woodrow Bean Ste B18, El Paso, TX 79924-3832 | 2020-03-30 |
| 1295362168 | Play To Heal Counseling Center | Counselor | 6048 Hidden Acres Dr, El Paso, TX 79924-2244 | 2020-03-23 |
| 1689220634 | Chad Condon Moltane | Counselor | 5048 Love Road, El Paso, TX 79922 | 2019-08-15 |
| Find all providers in EL PASO | ||||
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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.