CORRIE A FENTRESS (NPI# 1639654890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639654890 |
| Entity Type | Individual |
| Full Name | CORRIE A FENTRESS |
| Credential | MS, LMFT ASSOCIATE |
| Practice Address |
2701 Shoreline Dr. Denton TX 76210 |
| Mailing Address |
2701 Shoreline Dr Ste 151 Denton TX 76210-0176 |
| Practice Telephone | 9402222399 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
203059 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2701 SHORELINE DR. |
| City | DENTON |
| State | TX |
| Zip Code | 76210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891283479 | Landon Awstin Gregg | Counselor | 2701 Shoreline Dr., Denton, TX 76210-2457 | 2018-04-29 |
| 1942775481 | Brandilyn Nichole Strickland | Counselor | 2701 Shoreline Dr., Denton, TX 76201 | 2018-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403716 | Corinth Community Pharmacy, LLC. | Pharmacy | 3001 F.m. 2181, Suite 450, Corinth, TX 76210 | 2020-03-26 |
| 1003467200 | Stephanie R Rynor I | Nurse Practitioner | 3001 Fm 2181 Ste 300, Corinth, TX 76210 | 2019-09-28 |
| 1417435389 | Ikids Pediatric Dentistry Denton, Pllc | Dentist | 1212 Bent Oaks Ct Ste 100, Denton, TX 76210 | 2018-08-02 |
| 1083100101 | Ahir Dental Pllc | Dentist | 3220 Teasley Ln, Suite#100, Dention, TX 76210 | 2018-07-02 |
| 1235636010 | Diane Michelle Dean | Counselor | 2701 Shoreline Drive, Denton, TX 76210 | 2018-04-09 |
| 1740709344 | Southridge Dental, LLC | Dentist | 3303 Unicorn Lake Blvd, Ste 200, Denton, TX 76210 | 2017-09-14 |
| 1356876601 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Fm 2181, Corinth, TX 76210 | 2017-04-25 |
| 1366990137 | Phee Dental Group | Dentist | 4920 Teasley Ln, Denton, TX 76210 | 2016-09-21 |
| 1265893283 | Ann Marie Norris | Respiratory Therapist, Registered | 3535 E I-35, Denton, TX 76210 | 2016-03-18 |
| 1447644778 | Santa Patricia Espinoza | Nurse Practitioner | 3537 South Interstate 35e, Ste. 210, Denton, TX 76210 | 2015-03-25 |
| Find all providers in zip 76210 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195483 | Connie Fickenscher | Counselor | 3401 Pheasant Holw, Denton, TX 76207-7427 | 2020-02-08 |
| 1891283479 | Landon Awstin Gregg | Counselor | 2701 Shoreline Dr., Denton, TX 76210-2457 | 2018-04-29 |
| 1871092536 | Rachael Tillerson | Counselor | 4222 N I 35, Denton, TX 76207-3408 | 2018-02-08 |
| 1932641925 | Richard Eugene Davis | Counselor | 4232 N I 35, Denton, TX 76207-3408 | 2016-11-08 |
| 1740651264 | Heidi Richardson | Counselor | 920 W Congress St, Denton, TX 76201-4014 | 2015-10-09 |
| 1649689456 | Taylor Thompson | Counselor | 103 S Woodrow Ln, # 5, Denton, TX 76205-6308 | 2014-08-06 |
| 1972911121 | Premier Minds, LLC | Counselor | 2609 Scripture St, Denton, TX 76201-2302 | 2014-07-31 |
| 1043622178 | Sharon C Lopez | Counselor | 121 N Woodrow Ln, Denton, TX 76205-6338 | 2014-05-23 |
| 1962758532 | Raissa Marie Miller | Counselor | 103 S Woodrow Ln Ste 5, Denton, TX 76205-6309 | 2012-08-01 |
| 1538484522 | Teri Ann Sartor | Counselor | 525 S. Locus St, Ste 101, Denton, TX 76201 | 2010-04-01 |
| Find all providers in DENTON | ||||
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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.