PREMIERE COUNSELING AND RECOVERY SERVICES (NPI# 1417322157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417322157 |
| Entity Type | Organization |
| Organization Name | PREMIERE COUNSELING AND RECOVERY SERVICES |
| Practice Address |
1341 W Mockingbird Ln Suite 600, West Tower Dallas TX 75247-6913 |
| Mailing Address |
Po Box 190841 Dallas TX 75219-0841 |
| Practice Telephone | 2142746455 |
| Mailing Telephone | 2142746455 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |
| Authorized Official Name | MR. LAMONT CORNELIUS MARTIN (DIRECTOR) |
| Authorized Official Telephone | 2142746455 |
| Authorized Official Credential | LCDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12476 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1341 W MOCKINGBIRD LN SUITE 600, WEST TOWER |
| City | DALLAS |
| State | TX |
| Zip Code | 75247-6913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243151 | Michael C Fitzpatrick | Specialist | 1341 W Mockingbird Ln, Mockingbird Towers, Ste 710e, Dallas, TX 75247-6913 | 2005-05-24 |
| 1083247522 | Nina Anunobi | Nurse Practitioner | 1341 W Mockingbird Ln, Dallas, TX 75247-6913 | 2020-02-12 |
| 1770046807 | Willybroad Che | Nurse Practitioner | 1341 W Mockingbird Ln, Dallas, TX 75247-6913 | 2019-04-06 |
| 1215241211 | John G Mchenry Md Mph Pllc | Ophthalmology | 1341 W Mockingbird Ln, Suite 241, Dallas, TX 75247-6913 | 2010-08-02 |
| 1811223993 | Carestaf of Dallas, Lp | Home Health | 1341 W Mockingbird Ln, Suite 242w, Dallas, TX 75247-6913 | 2009-10-26 |
| 1588899256 | Peter Choi | Internal Medicine | 1341 W Mockingbird Ln, Suite 240e, Dallas, TX 75247-4971 | 2009-05-24 |
| 1477725398 | Lifespan Pharmacy Inc | Pharmacy | 1341 W Mockingbird Ln, Suite 304w, Dallas, TX 75247 | 2008-04-01 |
| 1073654661 | Marcus M Stavchansky | Pharmacist | 1341 W Mockingbird Ln, Suite #400 E, Dallas, TX 75247-6913 | 2007-02-08 |
| 1548310691 | Bahar Anbar | Physician Assistant | 1341 W Mockingbird Ln, Mockingbird Towers, Ste 710e, Dallas, TX 75247-6913 | 2007-01-11 |
| 1104975655 | Jeanelle Leilani Kam | Obstetrics & Gynecology | 1341 W Mockingbird Ln, Suite 200 E, Dallas, TX 75247-6913 | 2007-01-10 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417564683 | Solutions Mental Health, Pllc | Counselor | 13500 Midway Rd Ste 400, Dallas, TX 75244-5155 | 2020-09-30 |
| 1588284848 | Prime Counseling | Counselor | 13140 Coit Rd Ste 215, Dallas, TX 75240-5786 | 2020-04-16 |
| 1174157093 | Stephanie Grogan | Counselor | 12800 Hillcrest Rd Ste A103, Dallas, TX 75230-1524 | 2020-02-29 |
| 1982236014 | Shannon Christine O'connor | Counselor | 3838 Rawlins St Apt 313, Dallas, TX 75219-4250 | 2020-02-06 |
| 1215576574 | Mary Kemp Tabor | Counselor | 14114 Dallas Pkwy Ste 245, Dallas, TX 75254-1331 | 2020-01-03 |
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1679116909 | Origins Counseling LLC | Counselor | 12810 Hillcrest Rd Ste B223, Dallas, TX 75230-1525 | 2019-10-18 |
| 1225679665 | Katherine Foutz | Counselor | 6301 Gaston Ave Ste 730, Dallas, TX 75214-6296 | 2019-10-07 |
| 1831730910 | Christopher Paul Logan | Counselor | 10588 Stone Canyon Rd Apt 309, Dallas, TX 75230-4419 | 2019-09-30 |
| 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.