MR. MARCUS L WADE (NPI# 1780930768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780930768 |
| Entity Type | Individual |
| Full Name | MR. MARCUS L WADE |
| Credential | LMSW/LCDC |
| Practice Address |
10918 County Road 1268 Flint TX 75762-8341 |
| Mailing Address |
5022 Old Bullard Rd Ste 120 Tyler TX 75703 |
| Practice Telephone | 9033605352 |
| Mailing Telephone | 9033605352 |
| Mailing Fax Number | 9035099918 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10748 | TX | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
56749 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148959 | Marcus Vincent Wade | Behavioral Analyst | 1335 Lipan St, Denver, CO 80204-2530 | 2020-09-10 |
| 1659785376 | Marcus Wade | Behavioral Analyst | 101 S Rainbow Blvd, Las Vegas, NV 89145-5362 | 2014-06-20 |
| 1861583544 | Marcus Jerome Wade | Radiology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-09-27 |
| Street Address |
10918 COUNTY ROAD 1268 |
| City | FLINT |
| State | TX |
| Zip Code | 75762-8341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437647690 | Brandon Michael Gill | Registered Nurse | 19153 Honeysuckle Dr., Flint, TX 75762 | 2018-04-24 |
| 1023049715 | Michael Raymond Green | Pediatrics | 18104 County Road 134, Flint, TX 75762 | 2006-07-05 |
| 1548225261 | Lisa E. Allen | Family Medicine | 20208 Hwy 155 S, Flint, TX 75762 | 2006-04-18 |
| 1326018797 | Gary Babbitt | Family Medicine | 20208 Hwy 155, Flint, TX 75762 | 2006-01-26 |
| 1649269051 | Theodore Israel Gould | Emergency Medicine | 18118 County Road 344, Flint, TX 75762 | 2005-10-18 |
| 1740428028 | John G. Enloe, Dds, Pllc | Durable Medical Equipment & Medical Supplies | 17159 Fm 2493, Flint, TX 75762 | 2009-01-26 |
| 1669521795 | Air-o-tech Respiratory Care Services Inc. | Durable Medical Equipment & Medical Supplies | 10698 Fm 346 W, Suite #7, Flint, TX 75762-0271 | 2007-01-09 |
| 1881601078 | Excel Home Medical | Durable Medical Equipment & Medical Supplies | 11490 Fm 2868, Blg 2 Unit1, Flint, TX 75762-0298 | 2006-08-01 |
| 1831690247 | Liliana Carina Rodriguez | Registered Nurse | 13376 County Road 1131, Flint, TX 75762-2417 | 2018-02-22 |
| 1194346759 | Kelly Nicole Ellis | Registered Nurse | 13819 County Road 1131, Flint, TX 75762-2419 | 2020-05-05 |
| Find all providers in zip 75762 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154857423 | Carolyn Denise Scott | Counselor | 529 M.l. King, Jr. Ave., Flint, MI 48502 | 2017-05-05 |
| 1174073480 | Rooted In Love Counseling Services | Counselor | 3397 Windland Dr, Flint, MI 48504-1764 | 2016-10-11 |
| 1518319367 | Leann Littlejohn | Counselor | 529 Ml King Ave., Flint, MI 48502 | 2016-07-05 |
| 1801255054 | Jenna Pillow | Counselor | 931 Martin Luther King Ave, Flint, MI 48503-1488 | 2016-02-16 |
| 1710344841 | Virlyn Allen-poe | Counselor | 4105 Keyes St, Flint, MI 48504-2294 | 2016-01-20 |
| 1932573706 | Larry Lenoir | Counselor | G3500 Flushing Rd Ste 250, Suite 250, Flint, MI 48504-4238 | 2015-11-17 |
| 1124499835 | Harold Hill | Counselor | 323 Allendale Pl, Flint, MI 48503-2335 | 2015-10-08 |
| 1093185712 | Jayme Gene Wagner | Counselor | 529 M. L. King, Jr. Ave, Flint, MI 48502 | 2015-10-07 |
| 1821468489 | Shaun Weck | Counselor | 529 Martin Luther King Blvd # Jr, Flint, MI 48502-2002 | 2015-09-25 |
| 1427440874 | Rasheeda Mitchell | Counselor | 2387 S Linden Rd Ste 138, Flint, MI 48532-5488 | 2015-02-23 |
| Find all providers in FLINT | ||||
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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.