MR. GEORGE ROSS ILES III (NPI# 1598983991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598983991 |
Entity Type | Individual |
Full Name | MR. GEORGE ROSS ILES III |
Credential | LPC |
Practice Address |
260 Magnolia Trl Lumberton TX 77657-9277 |
Practice Telephone | 4097557241 |
Practice Fax Number | 4097556581 |
Mailing Telephone | 4097557241 |
Mailing Fax Number | 4097556581 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
4130 | TX | Behavioral Health & Social Service Providers |
Street Address |
260 MAGNOLIA TRL |
City | LUMBERTON |
State | TX |
Zip Code | 77657-9277 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972134617 | Harriscare Medical Group Pllc | Hospitalist | 220 Blanco Street, Lumberton, TX 77657 | 2020-01-31 |
1013465582 | Ronald K. Risinger, Dds, Ms, PC | Clinic/Center | 228a Country Lane Dr, Suite B, Lumberton, TX 77657 | 2016-09-14 |
1336556257 | Dental Square Pllc | Dentist | 681 South Main St., Lumberton, TX 77657 | 2014-07-14 |
1700121019 | King's Pharmacy of Lumberton | Pharmacy | 139 North Lhs Dr., Suite 211, Lumberton, TX 77657 | 2012-11-28 |
1245486810 | In-need Christian Counseling | Counselor | 1015 South Main, In Need Christian Counseling, Lumberton, TX 77657 | 2008-08-14 |
1669506879 | Lumberton Fire and Ems | Ambulance | 228 Country Ln, Lumberton, TX 77657 | 2007-03-16 |
1225170319 | Harry David Nelams | Dentist | 148 Country Ln Dr, Lumberton, TX 77657 | 2007-02-13 |
1962503615 | Dennis De Koven Riston | Emergency Medicine | 768 South Main Street, Lumberton, TX 77657 | 2006-09-26 |
1306812532 | Jong Joon Lee | Internal Medicine | 110 W Candlestick, Lumberton, TX 77657 | 2006-02-27 |
1154982676 | Hiteshkumar Devani | Dentist | 681 S Main St, Lumberton, TX 77657 | 2019-06-25 |
Find all providers in zip 77657 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629505573 | Vernon Archie Wiggins IIi | Counselor | 242 S Lhs Dr, Lumberton, TX 77657-8603 | 2017-05-22 |
1023449790 | Beverly Oxendine Young II | Counselor | 111 Elba St, Lumberton, NC 28358-3457 | 2013-12-06 |
1235481938 | Primary Health Choice, Inc. | Counselor | 107 Mount Moriah Church Rd Ste A, Lumberton, NC 28360-8446 | 2012-10-05 |
1700161635 | Chandra Jeanne Graham | Counselor | 4101 W Carthage Rd, Lumberton, NC 28360-9389 | 2011-10-11 |
1740584655 | Mark Michael Asteris Jr. | Counselor | 6 Old Trahan Pl, Lumberton, TX 77657-7013 | 2011-01-06 |
1235383878 | Karen D Nance | Counselor | 1384 Linkhaw Rd, Lumberton, NC 28358 | 2008-11-10 |
1447433099 | Primary Health Choice, Inc. | Counselor | 4822 Fayetteville Rd, Lumberton, NC 28358-2112 | 2007-12-06 |
1508069683 | Michael Antonio Powell | Counselor | 101 N Court Sq, Office 18, Lumberton, NC 28358-5579 | 2007-06-07 |
1780729608 | Lena Michelle Lowry | Counselor | 6367 Union Chapel Rd, Lumberton, NC 28360-3501 | 2007-02-20 |
1477604007 | Monica Zozone Osburn | Counselor | 441 Sherwood Rd, Lumberton, NC 28358-9189 | 2007-01-12 |
Find all providers in LUMBERTON |
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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.