MRS. ELSIE ANN GAUDREAULT (NPI# 1548355928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548355928 |
| Entity Type | Individual |
| Full Name | MRS. ELSIE ANN GAUDREAULT |
| Other Name | MRS. ANN GAUDREAULT |
| Credential | LPC |
| Practice Address |
3905 Gable Ln 723 Fort Worth TX 76155-2829 |
| Mailing Address |
6055 Monte Vista Ln 932 Fort Worth TX 76132-5419 |
| Practice Telephone | 8172407883 |
| Mailing Telephone | 8172407883 |
| Mailing Fax Number | 8179221076 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
18135 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | HOME ADDRESS NUMBERS | 3905 723 | 01 |
| Street Address |
3905 GABLE LN 723 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76155-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053757815 | Varsha Patel | Pharmacist | 15001 Trinity Boulevard, Fort Worth, TX 76155 | 2013-05-20 |
| 1922194588 | Rebecca Lyn Snell | Physical Therapist | 4255 Amon Carter Blvd., Fort Worth, TX 76155 | 2006-10-04 |
| 1932110525 | Medpro Pharmacy LLC | Pharmacy | 4200 Buckingham Road, Suite 105b, Fort Worth, TX 76155 | 2006-08-10 |
| 1669961819 | Shannon Lea Robertson | Licensed Vocational Nurse | 4251 Golding Ave Apt 5207, Fort Worth, TX 76155-2141 | 2018-05-03 |
| 1659972230 | Covetrus Pharmacy Services, LLC | Pharmacy | 14800 Faa Blvd Ste 150, Fort Worth, TX 76155-2252 | 2020-11-02 |
| 1568491553 | Omnicare Pharmacy of Texas No 1 Lp | Pharmacy | 14450 Trinity Blvd, Suite 200, Ft Worth, TX 76155-2549 | 2006-07-02 |
| 1710596200 | Mary Goertz | Physical Therapist | 4120 Highway 360 Ste 105, Fort Worth, TX 76155-2562 | 2020-07-30 |
| 1104131507 | Merlie Tameika Anderson | Speech-Language Pathologist | 4300 Dulles Dr, 13307, Fort Worth, TX 76155-2575 | 2010-08-10 |
| 1619448248 | Nulife Pharmacy, Inc | Pharmacy | 14150 Trinity Blvd Ste 750, Fort Worth, TX 76155-2597 | 2018-12-07 |
| 1225233422 | Thomas Neal Bettes | Family Medicine | 4255 Amon Carter Blvd, American Airlines Medical Dept., Fort Worth, TX 76155-2603 | 2007-06-18 |
| Find all providers in zip 76155 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428780 | Cynthia Frazier | Counselor | 2612 Dahlia Dr, Fort Worth, TX 76123-1252 | 2020-08-23 |
| 1326650755 | Next Steps Professional Counseling Services, LLC | Counselor | 101 S Jennings Ave Unit 104, Fort Worth, TX 76104-1112 | 2020-08-18 |
| 1477163103 | Adriana E Speiker | Counselor | 3509 Hulen St Ste 251, Fort Worth, TX 76107-6867 | 2020-08-07 |
| 1285252031 | Kiersta Lane Garcia | Counselor | 1810 8th Ave Ste B204, Fort Worth, TX 76110-1352 | 2020-07-08 |
| 1588290571 | Heather Penry | Counselor | 1024 Marlow Ln, Fort Worth, TX 76131-5375 | 2020-03-21 |
| 1992339105 | Azmeh Amer | Counselor | 172 Saint Donovan St, Fort Worth, TX 76107-1252 | 2020-02-26 |
| 1588297121 | Surnedra C Simmons | Counselor | 4941 Sunset Ridge Dr, Fort Worth, TX 76123-4615 | 2020-02-21 |
| 1821629957 | Turquoise Banks | Counselor | 5821 Wedgwood Dr, Fort Worth, TX 76133-2726 | 2020-01-28 |
| 1003447236 | Nicole Leona Sallee | Counselor | 201 Main St Fl 6, Fort Worth, TX 76102-3105 | 2020-01-27 |
| 1780214106 | Jeremy Adam Lelek | Counselor | 2501 Parkview Dr Ste 220, Fort Worth, TX 76102-5824 | 2020-01-24 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76155 |
Please comment or provide details below to improve the information on MRS. ELSIE ANN GAUDREAULT.
| 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.