JULIA LARSEN PLCC, CORPORATION (NPI# 1417598673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417598673 |
| Entity Type | Organization |
| Organization Name | JULIA LARSEN PLCC, CORPORATION |
| Other Organization Name | PANDORA'S HOUSE MENTAL HEALTH PROVIDER |
| Practice Address |
107 Mckinney St Farmersville TX 75442-2213 |
| Mailing Address |
6011 Crestridge Ln Sachse TX 75048-6501 |
| Practice Telephone | 9727843064 |
| Practice Fax Number | 9727843069 |
| Mailing Telephone | 9034543300 |
| Mailing Fax Number | 9034543307 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | JULIA P LARSEN (OWNER OF ENTITY) |
| Authorized Official Telephone | 9727843064 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Pandora's House Mental Health Provider | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2405 Stonewall St, Greenville, TX 754013349 | 9034543300 | 9034543307 |
| Street Address |
107 MCKINNEY ST |
| City | FARMERSVILLE |
| State | TX |
| Zip Code | 75442-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871964098 | Julia Larsen | Nurse Practitioner | 107 Mckinney St, Farmersville, TX 75442-2213 | 2015-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589845 | Dana Chatham | Physical Therapist | Farmersville Health and Rehabilitation, 205 Beech Street, Farmersville, TX 75442 | 2018-08-28 |
| 1962882472 | Nocona Hospital District | Skilled Nursing Facility | 2000 West Audie Murphy Parkway, Farmersville, TX 75442 | 2015-06-01 |
| 1265763932 | Ashley Smith | Physical Therapist | 1022 Hwy 78 North, Farmersville, TX 75442 | 2010-01-20 |
| 1093941577 | Carole Lynne Bates | Dentist | 1010 West Audie Murphy Parkway, Farmersville Dental, Farmersville, TX 75442 | 2009-06-10 |
| 1912142688 | Donna Gail Miller | Contractor | 2433 Cr 1121, Farmersville, TX 75442 | 2008-12-10 |
| 1144353608 | Carson H Everett | Pharmacist | 1705 Audie Murphy Pkwy, Farmersville, TX 75442 | 2007-03-13 |
| 1740200013 | Shawn Renea Furr | Physical Therapist | 1022 Highway 78 N., Farmersville, TX 75442 | 2006-07-20 |
| 1164442752 | Fpt, Inc. | Physical Therapist | 1022 Hwy 78 N, Farmersville, TX 75442 | 2006-07-19 |
| 1013134675 | Farmersville Isd | Local Education Agency (LEA) | 501a Hwy 78n, Farmersville, TX 75442-1013 | 2007-04-18 |
| 1720588379 | Michael Charles Lannon | Licensed Vocational Nurse | 605 Meadowview St, Farmersville, TX 75442-1021 | 2018-02-20 |
| Find all providers in zip 75442 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871964098 | Julia Larsen | Nurse Practitioner | 107 Mckinney St, Farmersville, TX 75442-2213 | 2015-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537857 | Julius Abam | Nurse Practitioner | 634 Rustic Trl, Midlothian, TX 76065-2267 | 2020-10-30 |
| 1750981619 | Suvekchya Subedi | Nurse Practitioner | 4032 Vista Mar Drive, Euless, TX 76040 | 2020-10-29 |
| 1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
| 1932709201 | Aftercare, Pllc | Nurse Practitioner | 2000 Crawford St Ste 1221, Houston, TX 77002-9000 | 2020-10-27 |
| 1497355929 | Hector Medellin IIi | Nurse Practitioner | 6014 County Road 4068, Kemp, TX 75143-2600 | 2020-10-26 |
| 1639778947 | Aj Psychiatry Pllc | Nurse Practitioner | 1920 N Coit Rd Ste 219, Richardson, TX 75080-2832 | 2020-10-19 |
| 1154929735 | Valerie Michelle Vaughn-smith | Nurse Practitioner | 3105 Rockbrook Dr, Kilgore, TX 75662-2251 | 2020-10-15 |
| 1700483468 | Knd Behavioural Health Clinic | Nurse Practitioner | 103 Herrington Dr, Mansfield, TX 76063-7615 | 2020-10-06 |
| 1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
| 1679189369 | Charity Chioma Durant | Nurse Practitioner | 2310 Echo Ct, Rowlett, TX 75088-1534 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | FARMERSVILLE |
| Zip Code | 75442 |
Please comment or provide details below to improve the information on JULIA LARSEN PLCC, CORPORATION.
| 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.