LORI FANGUE (NPI# 1578943676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578943676 |
| Entity Type | Individual |
| Full Name | LORI FANGUE |
| Practice Address |
4316 Latigo Cir Fort Worth TX 76244-8153 |
| Practice Telephone | 4695255775 |
| Mailing Telephone | 4695255775 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 73565 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4316 LATIGO CIR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-8153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794140 | Cassandra Lamptey | Counselor | 2917 Buckskin Run, Fort Worth, TX 76116-9601 | 2020-09-11 |
| 1144851668 | Estela Rodriguez | Counselor | 5441 Fursman Ave, Fort Worth, TX 76114-4507 | 2020-02-03 |
| 1679119390 | Carlos Mendez | Counselor | 4801 Brentwood Stair Rd, Fort Worth, TX 76103-1729 | 2019-11-19 |
| 1912555012 | Mylie Greenbach | Counselor | 7009 Brierhollow Ct, Fort Worth, TX 76132-7110 | 2019-09-01 |
| 1841782075 | Roy Cecrle | Counselor | 3301 West Fwy Ste 105, Fort Worth, TX 76107-5709 | 2018-06-04 |
| 1245770122 | Madison Elise Webb | Counselor | 6131 Avery Dr Apt 8202, Fort Worth, TX 76132-5325 | 2017-02-27 |
| 1417409780 | Catherine A Presley | Counselor | 8106 Melrose St E, Fort Worth, TX 76108-2414 | 2016-11-02 |
| 1275993982 | Dianna Clayton | Counselor | 5751 Park Vista Cir Ste 101, Fort Worth, TX 76244-5607 | 2016-02-24 |
| 1346634086 | John Mitchell Gray | Counselor | 3216 E 1st St, Fort Worth, TX 76111-3831 | 2015-03-19 |
| 1225421175 | T'erra Kay Estes | Counselor | 7916 Whitewater Ct, Fort Worth, TX 76123-2011 | 2015-03-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
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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.