WENDI ELLEN PHOENIX (NPI# 1396387445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396387445 |
| Entity Type | Individual |
| Full Name | WENDI ELLEN PHOENIX |
| Practice Address |
1345 River Bend Dr Dallas TX 75247-6943 |
| Mailing Address |
1837 W Main St Gun Barrel City TX 75156-4401 |
| Practice Telephone | 2147431200 |
| Mailing Telephone | 9039102294 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
72824 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1345 RIVER BEND DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75247-6943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730195264 | Scott B Irwin | Counselor | 1345 River Bend Dr, Dallas, TX 75247-6943 | 2006-08-01 |
| 1740816545 | Patricia S Wordell | Counselor | 1345 River Bend Dr, Dallas, TX 75247-6943 | 2020-03-13 |
| 1124527304 | Anna Kay Tucker | Physical Therapist | 1345 River Bend Dr, Dallas, TX 75247-6943 | 2018-02-02 |
| 1477065464 | Myra Gaius-anyaegbu | Nurse Practitioner | 1345 River Bend Dr, Dallas, TX 75247-6943 | 2017-10-30 |
| 1699285437 | Tameca Minter | Counselor | 1345 River Bend Dr, Dallas, TX 75247-6943 | 2017-10-06 |
| 1013435650 | Tiffany Luana Flores | Marriage & Family Therapist | 1345 River Bend Dr, Dallas, TX 75247-6943 | 2017-09-05 |
| 1396261707 | Kristen Ray | Behavioral Analyst | 1345 River Bend Dr, Dallas, TX 75247-6943 | 2017-08-17 |
| 1649796475 | Emma Cecilia Segoviano | Behavior Technician | 1345 River Bend Dr, Dallas, TX 75247-6943 | 2017-08-14 |
| 1962927087 | Robbie Arties Merrett | Counselor | 1345 River Bend Dr, Dallas, TX 75247-6943 | 2017-08-09 |
| 1073043451 | Dawn Rachel Floran | Counselor | 1345 River Bend Dr, Dallas, TX 75247-6943 | 2017-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
| 1750916144 | Sunshine Kids Pediatric Day Center, LLC | Nursing Care | 9127-9131 King Arthur Boulevard, Dallas, TX 75247 | 2020-03-06 |
| 1740789924 | Jennifer Pauli | Nurse Practitioner | 7610 N Stemmons Fwy Ste 360, Dallas, TX 75247 | 2018-02-02 |
| 1669991097 | Kai Medical Laboratories, LLC | Pathology | 8230 Elmbrook Dr Ste 200, Dallas, TX 75247 | 2017-09-18 |
| 1174055610 | Hoa Perkins | Technician/Technologist | 1499 Regal Row Suite 505a, Dallas, TX 75247 | 2017-04-03 |
| 1376910018 | Integron LLC | Clinical Medical Laboratory | 5139 Sharp Street, Dallas, TX 75247 | 2015-08-28 |
| 1710364575 | T.e.a.m. | Community/Behavioral Health | 1140 Empire Central Blvd, 520, Dallas, TX 75247 | 2015-04-30 |
| 1093053126 | Guardian Health Systems Aurora | Pharmacy | 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 | 2013-01-24 |
| 1457665317 | Pediatric Home Healthcare, LLC | Home Health | 1341 W Mockingbird Ln Ste 245e, Dallas, TX 75247 | 2010-08-03 |
| 1275846388 | Another Chancee, Inc. | Social Worker | 1140 Empire Central Drive, Suite 260, Dallas, TX 75247 | 2010-07-17 |
| Find all providers in zip 75247 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033070 | Joseph Barber | Counselor | 114 Hope Dr, Dallas, GA 30157-2569 | 2020-11-06 |
| 1497355754 | Charles Alexander Plafcan | Counselor | 5969 E Northwest Hwy Apt 1092, Dallas, TX 75231-7429 | 2020-10-27 |
| 1730788290 | Britton Michele Elliott | Counselor | 6318 Richmond Ave Unit 1203, Dallas, TX 75214-3686 | 2020-10-25 |
| 1619576634 | Kaitlin Short | Counselor | 2616 Colby St Apt 2105, Dallas, TX 75204-2664 | 2020-10-21 |
| 1356948061 | Mary Carlisle Reid-doulgas | Counselor | 7724 Dentcrest Dr, Dallas, TX 75254-8134 | 2020-10-06 |
| 1316550247 | Rodney Dean Beck | Counselor | 9814 Ridgehaven Dr, Dallas, TX 75238-2621 | 2020-08-29 |
| 1295348852 | Elizabeth Thompson | Counselor | 4100 Spring Valley Rd Ste 520, Dallas, TX 75244-3629 | 2020-08-24 |
| 1245840701 | Alaina Michelle Mount | Counselor | 9535 Forest Ln Ste 288, Dallas, TX 75243-5900 | 2020-08-08 |
| 1992314736 | Maritza Garcia | Counselor | 3850 W Nothwest Hwy, #3004, Dallas, TX 75220 | 2020-07-28 |
| 1316556582 | Zhen Barrientos | Counselor | 7141 Elliott Dr, Dallas, TX 75227-1806 | 2020-07-23 |
| Find all providers in DALLAS | ||||
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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.